Individual
KRISTINA WOJCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 HOOVER ROAD, GROVE CITY, OH 43123
(614) 325-6761
Mailing address
DEPT 781625 PO BOX 78000, DETROIT, MI 48278-1625
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
02/08/2019
Last updated
01/27/2020
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