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Individual
MRS. STEPHANIE M KOZACKA
Active
Individual
MRS. STEPHANIE M KOZACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113383
NY
104100000X
Social Worker
Primary
1615
KY
104100000X
Social Worker
LCSW00001615
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001615
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/07/2016
Last updated
08/12/2026
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