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1508543877
KATELYN NICOLE KUKLA
FAIRFAX, VA
NPI
1508543877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904015534)
Enumeration Date
2023-06-29
Last Update Date
2023-07-14
Business Address
KATELYN NICOLE KUKLA LCSW
10520 JUDICIAL DR
FAIRFAX, VA 22030-5115
Phone number: 571-474-5361
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Mailing Address
KATELYN NICOLE KUKLA LCSW
10520 JUDICIAL DR
FAIRFAX, VA 22030-5115
Phone number: 703-246-4336
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