Individual
MR. JEFFREY FRANK KOLACZKOWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW LISW LCSW
Contact information
Practice address
1320 WOODMAN DR, SUITE 200, DAYTON, OH 45432-3497
(937) 223-1781
(937) 853-0096
Mailing address
1320 WOODMAN DR, SUITE 200, DAYTON, OH 45432-3497
(937) 223-1781
(937) 853-0096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0008388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2272231
—
OH
Enumeration date
11/14/2005
Last updated
07/08/2007
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