Individual
KATHLEEN JUNE KONWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
22151 MOROSS RD, PB1 SUITE 334, DETROIT, MI 48236-2167
(313) 343-8784
(313) 343-7449
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092
(586) 753-0405
(586) 753-0404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301004046
MI
Other
Enumeration date
10/04/2006
Last updated
01/30/2017
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