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Individual
KRISTINE JOHANSSON YELLS
Active
Individual
KRISTINE JOHANSSON YELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
64902
TX
104100000X
Social Worker
8590-C
AR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64902
LICENSE
TX
01
—
8590-C
LICENSE
AR
Enumeration date
11/20/2017
Last updated
11/30/2022
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