Provider Demographics
NPI:1154300465
Name:VOJTECKY, KAREN (MSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:VOJTECKY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:VOJTECKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:CMR 411 BOX 2402
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112
Mailing Address - Country:US
Mailing Address - Phone:314-476-3221
Mailing Address - Fax:314-476-3521
Practice Address - Street 1:CMR 411 BOX 2402
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112
Practice Address - Country:DE
Practice Address - Phone:314-476-3221
Practice Address - Fax:314-476-3521
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13609335011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical