Individual
MARY M KOZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6832 CONVENT BLVD, SYLVANIA, OH 43560-4805
(419) 882-4529
(419) 885-0203
Mailing address
6832 CONVENT BLVD, SYLVANIA, OH 43560-4805
(419) 882-4529
(419) 885-0203
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
COA.02716-NS
OH
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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