Organization
JUDITH KRISKIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH KRISKIE LCSW (PROPRIETOR)
(570) 875-4103
Entity
Organization
Contact information
Practice address
129 E 5TH ST, MOUNT CARMEL, PA 17851-2175
(570) 339-1828
(570) 339-1924
Mailing address
PO BOX 45, 613 MCKNIGHT STREET, GORDON, PA 17936-0045
(570) 875-4103
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CW12963
PA
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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