Individual
JUDITH KRISKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16 SOUTH CENTRE STREET, POTTSVILLE, PA 17901
(570) 628-5234
(570) 628-9051
Mailing address
PO BOX 45, 613 MCKNIGHT STREET, GORDON, PA 17936-0045
(570) 875-4103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012963
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102328162 0001
—
PA
Enumeration date
07/06/2006
Last updated
01/16/2012
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