Individual
KRISTIN WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1528 PEACHTREE LN NW STE 104, CULLMAN, AL 35058-0422
(256) 686-4441
(256) 686-4443
Mailing address
1528 PEACHTREE LN NW STE 104, CULLMAN, AL 35058-0422
(256) 735-8152
(888) 255-4996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3694C
AL
Other
Enumeration date
10/29/2014
Last updated
07/18/2019
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