Individual
KRISTA AUSRA BRONISAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
243 BEECH ST, WILMINGTON, NC 28405-4121
(910) 297-2629
Mailing address
243 BEECH ST, WILMINGTON, NC 28405-4121
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1422
NC
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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