Individual
MS. KRISTINE ANN WEIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-PIP
Contact information
Practice address
5201 S WESTERN AVE, SUITE 105, SIOUX FALLS, SD 57108-5040
(605) 361-0114
(605) 332-1723
Mailing address
5201 S WESTERN AVE, SUITE 105, SIOUX FALLS, SD 57108-5040
(605) 361-0114
(605) 332-1723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2245
SD
Other
Enumeration date
11/24/2010
Last updated
12/19/2011
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