Individual
KIM TULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
36100 GENESEE LAKE RD, OCONOMOWOC, WI 53066-9201
(262) 569-4848
Mailing address
PO BOX 278, DOUSMAN, WI 53118-0278
(262) 569-4848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10409-120
WI
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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