Provider Information for 1881977106
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CATHERINE BUKOVITZ LMHC
Sex: Female
NPI: 1881977106
Last Updated: 2011-09-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1881977106 | ||||||||||||||||
| Enumeration Date | 2011-09-22 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 18245 PAULSON DR PORT CHARLOTTE, FL 33954-1019 United States Phone: 941-206-2480 | Fax: | ||||||||||||||||
| Primary Practice Address | 18245 PAULSON DR PORT CHARLOTTE, FL 33954-1019 United States Phone: 941-206-2480 | Fax: | ||||||||||||||||
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