Individual
AUTUMN KULCHAWIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 STEBBINGS CT STE 1, BRADLEY, IL 60915-1282
(602) 919-1845
Mailing address
1210 LAKE SUPERIOR RD APT 108, VALPARAISO, IN 46383-6742
(602) 919-1845
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
08/13/2022
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