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Individual

KRYSTAL FAYE KALB-WELDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, RPT

Contact information

Practice address
2106 IRONWOOD CIR, SOUTH BEND, IN 46635-1864
(574) 243-9370
(574) 243-9375
Mailing address
2106 IRONWOOD CIR, SOUTH BEND, IN 46635-1864
(574) 243-9370
(574) 243-9375

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701005175
VA
101YM0800X
Mental Health Counselor
Primary
39002401A
IN

Other

Enumeration date
10/29/2012
Last updated
10/29/2012
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