Individual
MRS. CARLY MARIE PODZIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17320 W 12 MILE RD, SOUTHFIELD, MI 48076-2100
(248) 727-3456
Mailing address
1684 LITTLESTONE RD, GROSSE POINTE WOODS, MI 48236-1955
(248) 506-2713
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
1568078137
MI
Other
Enumeration date
09/19/2020
Last updated
04/09/2024
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