Individual
KALUG N LUCKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 DALE AVE, MANSFIELD, OH 44902-8609
(567) 307-9000
Mailing address
147 DALE AVE, MANSFIELD, OH 44902-8609
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
TD188560
OH
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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