Individual
SIGRID KULKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
103 W SENECA ST, ITHACA, NY 14850-4157
(607) 262-9281
Mailing address
120 E YORK ST, ITHACA, NY 14850-3606
(607) 272-0407
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001065
NY
Other
Enumeration date
12/14/2012
Last updated
11/07/2013
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