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Individual

MR. SANDRA G PROCHAZKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3830 PACKARD ST STE 250, ANN ARBOR, MI 48108-2273
(734) 786-2364
(734) 786-4915
Mailing address
7950 JENNINGS RD, WHITMORE LAKE, MI 48189-9511
(734) 786-2364
(734) 786-4915

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801005822
MI
106H00000X
Marriage & Family Therapist
Primary
4101005601
MI

Other

Enumeration date
01/02/2007
Last updated
09/11/2025
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