Ireneus Jerome Kozak, ATR

NPI #1417165119 in Warren, Michigan

Provider Information

NPI Number
1417165119
Entity Type
Individual
Name
Ireneus Jerome Kozak, ATR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Art Therapist
Credential
ATR
Enumeration Date
May 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
28494 WALKER AVE
City
Warren
ZIP Code
48092-2543
Phone
(734) 657-2237

Specialties & Taxonomy Codes

Specialty
Art Therapist

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