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1316955081
IDA I KOGAN
FARMINGTON HILLS, MI
NPI
1316955081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801074428)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
-- IDA I KOGAN lmsw
27875 BERRYWOOD LN #88
FARMINGTON HILLS, MI 48334-4057
Phone number: 248-539-0238
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Mailing Address
-- IDA I KOGAN lmsw
27875 BERRYWOOD LN #88
FARMINGTON HILLS, MI 48334-4057
Phone number: 248-539-0238
Copy
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