MRS. Rebecca Lynn Kristiansen

NPI #1164706594 in Islip, New York

Provider Information

NPI Number: 1164706594
Entity Type: Individual
Name: MRS. Rebecca Lynn Kristiansen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 4, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 87 CHURCH AVE
City: Islip
State: New York
ZIP Code: 11751-4301
Phone: (631) 835-1675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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