Individual
JENNIFER CHWIALKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 KONOCTI RD, KELSEYVILLE, CA 95451-9398
(707) 279-4435
Mailing address
10515 ROSA TRL, KELSEYVILLE, CA 95451-2820
(707) 279-4435
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
230171804
CA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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