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Individual

DAVID I ULKOSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1111 EAST END BLVD, WILKES BARRE, PA 18711
(570) 824-3521
Mailing address
109 HOLLOW DR, MOSCOW, PA 18444-9679
(570) 842-1861

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012757
PA

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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