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Individual

BRIAN KACZOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1233 MAIN ST, HOLYOKE, MA 01040-5381
(413) 493-2736
(413) 493-2853
Mailing address
41 BARRY LN, SIMSBURY, CT 06070-2018
(860) 331-9737

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
217008
MA

Other

Enumeration date
05/10/2007
Last updated
09/29/2016
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