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Individual

JOHN KORNOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
203 W MICHIGAN AVE, SUITE 306, SALINE, MI 48176-1329
(734) 693-3200
Mailing address
23 W 1ST ST, PO BOX 883, MONROE, MI 48161-2332

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301009085
MI

Other

Enumeration date
01/19/2017
Last updated
01/19/2017
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