Individual
CAROLYN JUKIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-0977
Mailing address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-0977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2506867
OH
1041C0700X
Clinical Social Worker
S.2309556
OH
1041C0700X
Clinical Social Worker
—
OH
Other
Enumeration date
06/16/2023
Last updated
07/08/2025
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