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Individual
KRISTA WECKERLY
Active
Individual
KRISTA WECKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1502351
OH
1041C0700X
Clinical Social Worker
S1201192
OH
Other
Enumeration date
04/09/2014
Last updated
07/14/2016
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