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Individual
KRISTINA KOCHANOVA
Active
Individual
KRISTINA KOCHANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5066
WI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
5066
WI
Other
Enumeration date
07/12/2018
Last updated
03/13/2024
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