Individual
MALORY KULICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1665 CHURCH RD, MOUNTAIN TOP, PA 18707-9028
(215) 284-0648
Mailing address
1665 CHURCH RD, MOUNTAIN TOP, PA 18707-9028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131394
PA
Other
Enumeration date
06/30/2019
Last updated
06/30/2019
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