Individual
KRISTINE MERRILL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW; LCSW
Contact information
Practice address
415 N MAIN ST, SUITE 3, POYNETTE, WI 53955-8963
(608) 635-2146
Mailing address
415 N MAIN ST, SUITE 3, POYNETTE, WI 53955-8963
(608) 635-2146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4372-123
WI
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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