Individual
MRS. KENDRA LEA MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
340 N MAIN ST STE 200, PLYMOUTH, MI 48170-1250
(734) 335-0028
(734) 335-3931
Mailing address
340 N MAIN ST STE 200, PLYMOUTH, MI 48170-1250
(734) 335-0028
(734) 335-3931
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361006632
MI
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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