| Doctor Name: | MRS. KRISTAL MARIE MUTWIRI |
| NPI Number: | 1033309901 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW/LISW |
| License Number: | 33004758A |
| Business Practice Address: | 205 W Market St Fl 5 Lima, OH - 458014865 |
| Business Phone Number: | 4192292222 |
| Business Fax Number: | 4192292227 |
| Mailing Address: | 205 W Market St Fl 5, LIMA |
| State: | OH |
| Postal Code: | 458014865 |
| Phone Number: | 4192292222 |
| Fax Number: | 4192292227 |
| NPI Enumeration Date: | 07/27/2007 |
| NPI Last Update Date: | 07/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 33004758A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |