Individual
MRS. BERNADETTE A KOWALCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
174 UNION ST, RIDGEWOOD, NJ 07450-4498
(201) 652-5114
Mailing address
174 UNION ST, RIDGEWOOD, NJ 07450-4498
(201) 652-5114
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3TP15-014
NJ
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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