Individual
KAYLEE KOSMOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9188 AURA ST, KALEVA, MI 49645-5104
(231) 907-0850
Mailing address
PO BOX 111, KALEVA, MI 49645-0111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015887
MI
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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