Individual
JANE KICZENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 237-3700
Mailing address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802015643
MI
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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