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1598203879
KRISTINE VICHINSKY
TROY, MI
NPI
1598203879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301017133)
Enumeration Date
2017-02-07
Last Update Date
2021-02-12
Business Address
KRISTINE VICHINSKY
1777 AXTELL DR
TROY, MI 48084-4404
Phone number: 248-613-5377
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Mailing Address
KRISTINE VICHINSKY
1777 AXTELL DR
TROY, MI 48084-4404
Phone number: 248-613-5377
Copy
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