Individual
KIMBERLE LYNN KWASNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMFT
Contact information
Practice address
1422 W SAGINAW ST, EAST LANSING, MI 48823-2434
(517) 243-6426
Mailing address
4955 ALGONQUIN WAY, OKEMOS, MI 48864-1001
(517) 243-6426
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006523
MI
Other
Enumeration date
01/08/2018
Last updated
11/19/2020
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