Individual
MRS. CRYSTAL BROCK MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
THE SANCTUARY, 300 TYLER ROAD, SUITE 203, OAK RIDGE, TN 37830
(865) 245-2333
Mailing address
260 MOUNTAIN DR, LENOIR CITY, TN 37772-6971
(865) 936-9230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW0000004304
TN
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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