Individual
ARDIE KISSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
457 RIDGE ST, BLOOMSBURG, PA 17815-3371
(570) 356-2206
Mailing address
20 SPYGLASS HILL RD, BLOOMSBURG, PA 17815-9517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015907
PA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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