Individual
KRISTEN HUMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
620 E LONGVIEW DR STE C, APPLETON, WI 54911-2149
(920) 238-3340
Mailing address
2387 ALLERTON DR, OSHKOSH, WI 54904-8213
(574) 398-2119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
135136121
WI
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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