Organization
KRISS AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLIN PETER KRISS LCSW (OWNER)
(608) 836-5529
Entity
Organization
Contact information
Practice address
6702 STONEFIELD RD, SUITE 100, MIDDLETON, WI 53562-3875
(608) 836-5529
(608) 836-8059
Mailing address
6702 STONEFIELD RD, SUITE 100, MIDDLETON, WI 53562-3875
(608) 836-5529
(608) 836-8059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2250
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42123400
—
WI
Enumeration date
12/15/2009
Last updated
03/10/2010
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