Individual
MS. JESSICA KULIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, MSSA
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3891
(440) 204-4315
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3891
(440) 204-4315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S0900816
OH
1041C0700X
Clinical Social Worker
Primary
I.1303101
OH
Other
Enumeration date
08/20/2010
Last updated
06/07/2019
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