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NPI Code Detail

MEDICARE: KUKUHLA SAWLON

MEDICARE: KUKUHLA SAWLON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7476226WI

General Provider Information

NPI Number : 1134803414
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUKUHLA SAWLON
Provider Business Mailing Address
First Line : 3040 S 36TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 N MAYFAIR RD STE 400
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-1306
Country : US
Telephone Number : 414-939-9390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2023
Last Update Date : 05/31/2024

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Directions to “ KUKUHLA SAWLON ” Practice Location

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