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Individual

JENNIFER KOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
17940 FARMINGTON RD STE 223, LIVONIA, MI 48152-4444
(248) 767-7776
(248) 479-2572
Mailing address
8575 NEWPORT DR, WHITE LAKE, MI 48386-3489

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000569
MI

Other

Enumeration date
07/30/2015
Last updated
07/21/2021
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