Individual
DIANE M KANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 S 9TH ST, SUITE 2GB, KALAMAZOO, MI 49009-7956
(269) 544-7720
(269) 544-7721
Mailing address
3030 S 9TH ST, SUITE 2GB, KALAMAZOO, MI 49009-7956
(269) 544-7720
(269) 544-7721
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011265
MI
Other
Enumeration date
02/21/2007
Last updated
11/06/2008
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