Marjorie Ann Bagwell Kukor, PHD

NPI #1104009166 in Springfield, Ohio

Provider Information

NPI Number: 1104009166
Entity Type: Individual
Name: Marjorie Ann Bagwell Kukor, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Dec 13, 2007
Last Updated: Sep 8, 2009

Practice Location

Address: 1130 VESTER AVE
Address 2: SUITE C
City: Springfield
State: Ohio
ZIP Code: 45503-7302
Phone: (937) 390-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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