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1356814115
IAN GACKOWSKI
ANN ARBOR, MI
NPI
1356814115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301017272)
Enumeration Date
2019-01-04
Last Update Date
2019-02-10
Business Address
Dr. IAN GACKOWSKI Psy.D.
120 E LIBERTY ST STE 300D
ANN ARBOR, MI 48104-2163
Phone number: 269-370-1868
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Mailing Address
Dr. IAN GACKOWSKI Psy.D.
2180 ARBOR CIR W APT 108
YPSILANTI, MI 48197-3450
Phone number: 269-370-1868
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