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Individual
KRYSTAL R SMITH
Active
Individual
KRYSTAL R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10990-125
WI
101YP2500X
Professional Counselor
5282-226
WI
Other
Enumeration date
01/31/2022
Last updated
06/15/2024
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