| NPI | 1487283644 |
|---|---|
| Doing Business As | MICHELLE A KOSMAK LICSW LLC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE KOSMAK Owner/Clinician 612-825-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |