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1902160435
KATHLEEN GAIL IVANOFF
PLYMOUTH, MI
NPI
1902160435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301014954)
Enumeration Date
2012-06-29
Last Update Date
2012-06-29
Business Address
MS. KATHLEEN GAIL IVANOFF MA, TLLP
496 W ANN ARBOR TRL SUITE 202
PLYMOUTH, MI 48170-6262
Phone number: 248-613-5377
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Mailing Address
MS. KATHLEEN GAIL IVANOFF MA, TLLP
2403 CRYSTAL DR
ANN ARBOR, MI 48108-1111
Phone number: 734-320-2719
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