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Individual
KRISTYNE SKIPPERGOSH
Active
Individual
KRISTYNE SKIPPERGOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
77865
CA
104100000X
Social Worker
6801099324
MI
1041C0700X
Clinical Social Worker
Primary
90784
CA
Other
Enumeration date
06/27/2016
Last updated
10/07/2022
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