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Individual

DR. JESSICA PODOLSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5718 WOODFIELD PKWY, GRAND BLANC, MI 48439-9426
(305) 401-4180
Mailing address
PO BOX 272917, BOCA RATON, FL 33427-2917
(305) 401-4180

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 8097
FL

Other

Enumeration date
06/11/2010
Last updated
06/11/2010
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