Individual
JULIE KOWALCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 DACQUARI DR, STORMVILLE, NY 12582-5703
(914) 329-0845
Mailing address
5 DACQUARI DR, STORMVILLE, NY 12582-5703
(914) 329-0845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R-DMT 2072
NY
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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