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Individual
MR. TIMOTHY JAMES KRAKOWSKI
Active
Individual
MR. TIMOTHY JAMES KRAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SC05252400
NJ
1041C0700X
Clinical Social Worker
Primary
Q1-0000759
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241691CWE
MEDICARE PTAN
NJ
01
—
279698ZDVL
MEDICARE PTAN
DE
Enumeration date
10/31/2011
Last updated
08/10/2018
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