Individual
ABIGAIL KOVALCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 PIKE ST, PORT JERVIS, NY 12771-1808
(845) 858-1456
Mailing address
38 SUNSET LAKE RD, HARDWICK, NJ 07825-9551
(908) 914-6808
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2022
Last updated
10/03/2024
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