Individual
NICOLE MARLENE KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(810) 410-8424
Mailing address
8089 MILLER RD FL 1, SWARTZ CREEK, MI 48473-1381
(810) 410-8424
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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