Individual
JOSHUA KOSTUSYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLBSW
Contact information
Practice address
21885 DUNHAM RD STE 1, CLINTON TOWNSHIP, MI 48036-1030
(248) 786-7641
Mailing address
21885 DUNHAM RD STE 1, CLINTON TOWNSHIP, MI 48036-1030
(248) 786-7641
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6852090663
MI
Other
Enumeration date
05/07/2019
Last updated
01/24/2024
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