Individual
MS. KRISTINE KAYE BURNSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9884
(608) 356-0985
Mailing address
1002 LINCOLN AVE, PAUQUETTE CENTER, BARABOO, WI 53913
(608) 356-9055
(608) 356-5447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6780123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43577200
—
WI
Enumeration date
05/03/2006
Last updated
07/08/2007
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