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1922534387
KIM TULA
OCONOMOWOC, WI
NPI
1922534387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 10409-120)
Enumeration Date
2017-05-04
Last Update Date
2017-05-04
Business Address
-- KIM TULA CSW
36100 GENESEE LAKE RD
OCONOMOWOC, WI 53066-9201
Phone number: 262-569-4848
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Mailing Address
-- KIM TULA CSW
PO BOX 278
DOUSMAN, WI 53118-0278
Phone number: 262-569-4848
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