Individual
JENNIFER KUKUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
(608) 372-1779
Mailing address
W11421 SPAULDING RD, BLACK RIVER FALLS, WI 54615-5616
(608) 372-3971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9303
NC
Other
Enumeration date
08/30/2022
Last updated
11/15/2022
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