Individual
AVI YEHUDA KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6555 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4926
(248) 592-2313
Mailing address
15677 JEANETTE ST, SOUTHFIELD, MI 48075-6002
(248) 763-1051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851114086
MI
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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