Individual
JOHN BRUCE KIJOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4793
(419) 557-5177
(419) 557-5179
Mailing address
1925 HAYES AVE., SANDUSKY, OH 44870
(419) 557-5177
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0004736
OH
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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