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1679121461
KATHLEEN MAVOURNEEN CUSICK
YPSILANTI, MI
NPI
1679121461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301016433)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
Dr. KATHLEEN MAVOURNEEN CUSICK PsyD
135 S PROSPECT ST
YPSILANTI, MI 48198-7914
Phone number: 248-719-2845
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Mailing Address
Dr. KATHLEEN MAVOURNEEN CUSICK PsyD
21637 WELCH RD
NORTHVILLE, MI 48167-2101
Phone number: 248-719-2845
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