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Individual
KRISTY WHITAKER
Active
Individual
KRISTY WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1594
NC
1041C0700X
Clinical Social Worker
Primary
C007063
NC
Other
Enumeration date
10/26/2010
Last updated
11/12/2018
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