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Individual
CRYSTAL JOY DEAN
Active
Individual
CRYSTAL JOY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
087006502RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
087006502RE
OR
171M00000X
Case Manager/Care Coordinator
—
OR
Other
Enumeration date
01/30/2007
Last updated
02/04/2009
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