Provider Demographics
NPI:1215658174
Name:DUERR, KRISTI (APSW)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:DUERR
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8362 JONATHAN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54466-9565
Mailing Address - Country:US
Mailing Address - Phone:715-323-1286
Mailing Address - Fax:
Practice Address - Street 1:700 HALE ST
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54495-2787
Practice Address - Country:US
Practice Address - Phone:608-372-7734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI128900-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker