Individual
MRS. TERESA P KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6 S 3RD ST, SUITE 403, EASTON, PA 18042-4511
(610) 923-0394
(610) 923-0397
Mailing address
6 S 3RD ST, SUITE 403, EASTON, PA 18042-4511
(610) 923-0394
(610) 923-0397
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-012427-L
PA
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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