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NPI Code Detail

MEDICARE: MRS. MARCY WUJKOWSKI MA, LLP, LPC

MEDICARE: MRS. MARCY WUJKOWSKI MA, LLP, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401007317MI
2103TC1900XCounseling Psychologist6301011056MI

General Provider Information

NPI Number : 1396828778
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARCY WUJKOWSKI MA, LLP, LPC
Provider Business Mailing Address
First Line : 28258 ACORN DR
Second Line :
City : LAWTON
State : MI
Zip : 49065-7669
Country : US
Telephone Number : 269-624-9193
Fax Number :
Provider Business Practice Location Address
First Line : 2019 RAMBLING RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1630
Country : US
Telephone Number : 269-345-0909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 09/11/2025

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