Provider Information for 1609388412
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WENDY CAROLINE HILLS MA LPC NCC
Other Names:Former Name:WENDY CAROLINE KOWAL MASex: Female
NPI: 1609388412
Last Updated: 2017-11-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1609388412 | ||||||||
| Enumeration Date | 2017-11-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1841 N PERRY ST PONTIAC, MI 48340-2235 United States Phone: 248-871-1448 | Fax: | ||||||||
| Primary Practice Address | 1841 N PERRY ST PONTIAC, MI 48340-2235 United States Phone: 248-871-1448 | Fax: | ||||||||
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