Individual
DESIREE NATASHA KRISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
427 N SAINT MARYS ST, SAINT MARYS, PA 15857-3657
(814) 762-1468
Mailing address
628 VIRGINIA RD, SAINT MARYS, PA 15857-3448
(814) 335-8102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020699
PA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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