Individual
MISS EWA ANNA KUBICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1582
(248) 406-0090
Mailing address
683 WOODINGHAM AVE, WATERFORD, MI 48328-4170
(248) 212-0874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801089748
MI
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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