Individual
JENNIFER S. KUCKUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 556-2433
Mailing address
8123 MANSION HILL AVE, MADISON, WI 53719-4489
(920) 207-9684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2009
Last updated
12/11/2024
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