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Individual

JEFFREY R CULLERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
41491 ROUTE 6, COLUMBUS, PA 16405-2805
(814) 440-4526
Mailing address
41491 ROUTE 6, COLUMBUS, PA 16405-2805
(814) 440-4526

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
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