Individual
ANDREW ERNST KOSSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 FULTON ST E STE 222, GRAND RAPIDS, MI 49503-3262
(616) 490-3468
Mailing address
217 FAIR ST APT 3, TRAVERSE CITY, MI 49686-2946
(517) 974-0551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851115573
MI
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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