IDA I KOGAN

FARMINGTON HILLS, MI
NPI1316955081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801074428)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
-- IDA I KOGAN lmsw
27875 BERRYWOOD LN #88
FARMINGTON HILLS, MI 48334-4057
Phone number: 248-539-0238
Mailing Address
-- IDA I KOGAN lmsw
27875 BERRYWOOD LN #88
FARMINGTON HILLS, MI 48334-4057
Phone number: 248-539-0238