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Individual
KRISTIN WEBER
Active
Individual
KRISTIN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17186-130
WI
101YP2500X
Professional Counselor
Primary
5964-125
WI
Other
Enumeration date
04/05/2014
Last updated
02/24/2016
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