Individual
MRS. MICHELLE LILLIAN KOZIMOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
45 E MONTEREY WAY, PHOENIX, AZ 85012-2753
(480) 641-1165
Mailing address
45 E MONTEREY WAY # 100, PHOENIX, AZ 85012-2753
(480) 641-1165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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