Individual
MS. DIANNE CAMPBELL KUCHLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
47 MARCHWOOD RD, SUITE 2-H, EXTON, PA 19341-1835
(610) 280-9555
(610) 280-9532
Mailing address
47 MARCHWOOD RD, SUITE 2-H, EXTON, PA 19341-1835
(610) 280-9555
(610) 280-9532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012390
PA
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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