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Individual

KRISTINA LYNN DUKART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6715 NE 63RD ST, STE 103 PMB 162, VANCOUVER, WA 98661
(360) 524-3628
Mailing address
6715 NE 63RD ST, STE 103 PMB 162, VANCOUVER, WA 98661
(360) 524-3628

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
L17219
OR
104100000X
Social Worker
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-30555
MT
1041C0700X
Clinical Social Worker
Primary
LW61463819
WA
1041C0700X
Clinical Social Worker

Other

Enumeration date
05/17/2018
Last updated
02/09/2026
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