Individual
MS. KRISTEN LEE KUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED MFT
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852
(978) 452-1736
(978) 452-6625
Mailing address
4 AMALFI RD, METHUEN, MA 01844-6348
(978) 258-1637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
12/21/2010
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