Individual
KIMBERLY K LUCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2155 N STATE ROAD 9, LAGRANGE, IN 46761-8746
(260) 463-7144
(260) 463-7146
Mailing address
PO BOX 817, KENDALLVILLE, IN 46755-0817
(260) 347-2453
(260) 347-2456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005903A
IN
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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