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NPI Code Detail

MEDICARE: PATRICIA KRUGLAK LCSW

MEDICARE:   PATRICIA  KRUGLAK  LCSW
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
11041C0700XClinical Social Worker217725MA

General Provider Information

NPI Number : 1528309721
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA KRUGLAK LCSW
Provider Business Mailing Address
First Line : 10 BRIGHT ST
Second Line : FL 1
City : NORTHAMPTON
State : MA
Zip : 01060-2202
Country : US
Telephone Number : 413-314-2111
Fax Number :
Provider Business Practice Location Address
First Line : 10 BRIGHT ST
Second Line : FL 1
City : NORTHAMPTON
State : MA
Zip : 01060-2202
Country : US
Telephone Number : 413-314-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2013
Last Update Date : 01/14/2021

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Directions to “ PATRICIA KRUGLAK LCSW” Practice Location

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