Doctor Name: | MISS KATHY A UZELAC |
NPI Number: | 1013112523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 213677 |
Business Practice Address: | 1061 Pleasant St Child And Family Svcs. New Bedford, MA - 027406728 |
Business Phone Number: | 5089968572 |
Business Fax Number: | |
Mailing Address: | 6 Mattawa Ln, LAKEVILLE |
State: | MA |
Postal Code: | 023471906 |
Phone Number: | 5082546959 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 213677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |