Individual
MIRANDA MARIE KOVALCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 WASHINGTON AVE, GRAND HAVEN, MI 49417-1357
(616) 607-4476
(833) 231-4270
Mailing address
1040 SEMINOLE RD, NORTON SHORES, MI 49441-4344
(231) 557-3903
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
08/29/2023
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