Individual
CHRISTINE MARIE KRZYSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 358-7999
(414) 358-7158
Mailing address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 358-7999
(414) 358-7158
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
875-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
875-121
APSW LICENSE
WI
Enumeration date
11/05/2019
Last updated
11/05/2019
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