Individual
ROZA FORGACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 244-2246
Mailing address
7086 8TH AVE, JENISON, MI 49428-9352
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016549
MI
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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