Individual
MRS. MARY T ZMOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-1300
Mailing address
809 OAKMERE PL, NORTH MUSKEGON, MI 49445-2962
(231) 744-3380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MZ007565
BCBS PIN
MI
Enumeration date
03/01/2007
Last updated
07/08/2007
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