Provider Demographics
NPI:1780060509
Name:KULUBYA, JULIET NANKINGA
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:NANKINGA
Last Name:KULUBYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 LEXINGTON ST # 10
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-5945
Mailing Address - Country:US
Mailing Address - Phone:978-453-6800
Mailing Address - Fax:978-453-6767
Practice Address - Street 1:241 LEXINGTON ST #10
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801
Practice Address - Country:US
Practice Address - Phone:978-453-6800
Practice Address - Fax:978-453-6767
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker