Individual
MAXWELL CRYSTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 COLONIAL RD UNIT 101, FAIRFAX, VT 05454-9511
(802) 777-0512
Mailing address
43 COLONIAL RD UNIT 101, FAIRFAX, VT 05454-9511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135835
VT
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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