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1932144433
IDA ZEKTICK ZACK
ROYAL OAK, MI
NPI
1932144433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301001930)
Enumeration Date
2006-06-18
Last Update Date
2007-07-08
Business Address
DR. IDA ZEKTICK ZACK PH.D.
217 KNOWLES ST
ROYAL OAK, MI 48067-2767
Phone number: 248-539-3634
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Mailing Address
DR. IDA ZEKTICK ZACK PH.D.
6352 PEPPER HILL ST
WEST BLOOMFIELD, MI 48322-2303
Phone number: 248-539-3634
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