Individual
MICHELLE L KOZIMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2120 S MCCLINTOCK DR, STE. 105, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Mailing address
1400 E. SOUTHERN AVE, STE. 735, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-13689
AZ
Other
Enumeration date
04/30/2014
Last updated
04/23/2017
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