Individual
KRISTEN KUTSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 COMMERCE DR, HARRISBURG, PA 17110-9365
(717) 901-9906
Mailing address
1308 MORRIS DR, APT 201, HARRISBURG, PA 17110-9162
(570) 878-2677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BH002037
PA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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