Individual
KIMBERLY S NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 722-4640
Mailing address
1585 SARAH LN, WESTLAND, MI 48186-9352
(173) 478-8714
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/13/2022
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