Individual
STEPHANIE ANN KRACZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3654
AL
101YP2500X
Professional Counselor
7862
NC
Other
Enumeration date
03/08/2017
Last updated
07/21/2022
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