Individual
KELLY CATHERINE CUKROWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2800
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 834-8485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33764
TX
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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