Individual
KELLY DIANE KRISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3033 WILSON BLVD STE 700, ARLINGTON, VA 22201-3868
(727) 324-9869
Mailing address
2610 MARCEY RD, ARLINGTON, VA 22207-5232
(727) 324-9869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 8985
FL
Other
Enumeration date
07/09/2009
Last updated
12/23/2020
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