Individual
MS. SOFIA KAZULKINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
2201 HOGBACK RD, ANN ARBOR, MI 48105-9732
(734) 973-4863
Mailing address
PO BOX 915, YPSILANTI, MI 48197-0915
(734) 544-3000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014551
MI
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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