Individual
WENDY CHRYST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8712
WI
1041C0700X
Clinical Social Worker
Primary
6801115605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43559400
—
WI
Enumeration date
09/07/2006
Last updated
05/30/2025
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