Organization
CORIE KULP COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORIE KULP LCSW (OWNER)
(574) 534-2161
Entity
Organization
Contact information
Practice address
1930 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-2161
(574) 534-3887
Mailing address
1930 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-2161
(574) 534-3887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004681A
IN
Other
Enumeration date
09/19/2007
Last updated
10/01/2008
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