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Individual

CHRISTINA SMALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
515 CRESCENT ST, RIVER FALLS, WI 54022-2625
(715) 821-6132
Mailing address
515 CRESCENT ST, RIVER FALLS, WI 54022-2625
(715) 821-6132

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17551
MN
1041C0700X
Clinical Social Worker
9858
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
.
MN
Enumeration date
02/10/2022
Last updated
03/22/2022
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