Individual
MRS. PHILOMENA KURZAWE-BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP, BCBA
Contact information
Practice address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125
Mailing address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
7401002968
MI
103TC0700X
Clinical Psychologist
Primary
6361008247
MI
Other
Enumeration date
02/12/2020
Last updated
11/12/2025
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