Individual
AUDRA KUJACZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6189 S DEWDROPS DR, SALT LAKE CITY, UT 84118-8521
(801) 979-1824
Mailing address
6189 S DEWDROPS DR, SALT LAKE CITY, UT 84118-8521
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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