Individual
KRISTEN PAMELA PULICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(516) 672-2327
Mailing address
16702 WANATAH TRL, WESTFIELD, IN 46074-8015
(516) 672-2327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005617A
IN
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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