Individual
KATHLEEN CURTIS KORSTANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A,
Contact information
Practice address
905 S STEWART AVE, FREMONT, MI 49412-9201
(231) 924-5309
Mailing address
905 S STEWART AVE, FREMONT, MI 49412-9201
(231) 924-5309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007744
MI
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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