Individual
MS. KELLY LYN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
500 HANCOCK ST, SAGINAW, MI 48602-4224
(989) 797-3542
Mailing address
1148 S HURON RD, KAWKAWLIN, MI 48631-9417
(989) 615-0120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
229752
MI
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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