IRENEUS JEROME KOZAK

WARREN, MI
NPI1417165119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy221700000X Art Therapist
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- IRENEUS JEROME KOZAK ATR
28494 WALKER AVE
WARREN, MI 48092-2543
Phone number: 734-657-2237
Mailing Address
-- IRENEUS JEROME KOZAK ATR
28494 WALKER AVE
WARREN, MI 48092-2543
Phone number: 734-657-2237