Individual
MRS. NANCY J. KUKULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14950 LARAMIE AVE, OAK FOREST, IL 60452-1323
(708) 687-2860
Mailing address
14950 LARAMIE AVE, OAK FOREST, IL 60452-1323
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1890998
IL
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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