Individual
DR. CHRISTINA MARIE GEISELHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 ILLINOIS RT 2, DIXON, IL 61021-9118
(815) 284-6611
Mailing address
704 PARKSIDE DR, ROCKFORD, IL 61108-3864
(815) 520-1081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015392
IL
Other
Enumeration date
02/17/2011
Last updated
07/21/2023
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