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Organization

THE NEW CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN KUKOLECK PSYD (OWNER)
(773) 504-7341
Entity
Organization

Contact information

Practice address
3354 N PAULINA ST, SUITE 204C, CHICAGO, IL 60657-1068
(773) 405-3541
Mailing address
3354 N PAULINA ST, SUITE 204C, CHICAGO, IL 60657-1068

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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