Individual
HOLLY SUZANNE KOWALCZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4747 MONROE ST, TOLEDO, OH 43623-4307
(419) 740-5709
Mailing address
6809 CARRIE PINE LN, TOLEDO, OH 43617-1289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.176043
OH
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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