Individual
MITZI MARIE KALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
2095 NILES RD, ST JOSEPH, MI 49085
(269) 983-4751
(269) 983-0803
Mailing address
1915 LANGLEY AVE, ST JOSEPH, MI 49085
(269) 983-7586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012953
MI
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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