Most Relevant Information
Provider Data
| NPI Number: | 1003394990 |
| Provider Name: | KRISTEN WHISTON LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6801096780 |
Most Important Dates
| Enumeration Date: | 08/01/2018 |
| Last Updated: | 08/01/2018 |
Provider Practice Location
5639 SASHABAW RD
CLARKSTON
MI
483463149
Practice Location Phone/Fax
| Phone: | 2489229077 |
| Fax: |
Provider Mailing Location
46176 CUSTER AVE
UTICA
MI
483175802
Provider Mailing Phone/Fax
| Phone: | 2485207126 |
| Fax: |