Individual
JEFFREY R CULLERS
Active
Individual
JEFFREY R CULLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
087495
NY
1041C0700X
Clinical Social Worker
Primary
CW016065
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087495
NY STATE LICENSE
NY
Enumeration date
09/18/2008
Last updated
01/22/2019
Update your record
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