Individual
JOAN BARBARA KRISTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6314 PEARCE AVE, BALTIMORE, MD 21215
(410) 764-6564
Mailing address
3701 OLD COURT RD, SUITE 5, BALTIMORE, MD 21208-3909
(410) 764-6564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05055
MD
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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