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Individual
KRISTEN LEE SEIDLER
Active
Individual
KRISTEN LEE SEIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SAC, PC-IT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15802-131
WI
104100000X
Social Worker
5367-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15802-131
STATE
WI
Enumeration date
05/03/2013
Last updated
08/05/2015
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