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Individual
KRISTIN RENE KANTNER
Active
Individual
KRISTIN RENE KANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW129778
PA
1041C0700X
Clinical Social Worker
Primary
85860
CA
1041C0700X
Clinical Social Worker
CW018554
PA
Other
Enumeration date
08/22/2013
Last updated
05/01/2019
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