Individual
MRS. WENDY MARIE KOTZIAN-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
154 S RIPLEY BLVD, ALPENA, MI 49707-3406
(989) 356-6385
(989) 356-4909
Mailing address
PO BOX 342, HILLMAN, MI 49746-0342
(989) 356-6385
(989) 356-4909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009198
MI
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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