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1366711913
VICKIE R. KUKULSKI
WAUKEGAN, IL
NPI
1366711913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149.010289)
Enumeration Date
2011-12-27
Last Update Date
2011-12-27
Business Address
VICKIE R. KUKULSKI L.C.S.W.
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8976
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Mailing Address
VICKIE R. KUKULSKI L.C.S.W.
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8976
Copy
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