Individual
KRISTI WYCKOFF
Active
Individual
KRISTI WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10212
TN
1041C0700X
Clinical Social Worker
Primary
7417
TN
1041S0200X
School Social Worker
2292306
IL
1041S0200X
School Social Worker
623990
TN
Other
Enumeration date
08/03/2016
Last updated
08/17/2021
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