-- MARJORIE ANN BAGWELL KUKOR -- PhD
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1104009166- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PhD
- Status
- Active
Contact & Location
- Address
- 1130 VESTER AVE SUITE C, SPRINGFIELD, OH, 455037302
- Phone
- (937) 390-3800
- Fax
- (937) 390-3804
Specialties & Taxonomies
Psychologist
License: OH #6340
Psychologist
License: MO #PPY01684
Psychologist, Clinical
Primary License: OH #6340