Individual
CRYSTAL CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1042 CENTER DR, RICHMOND, KY 40475-3838
(859) 575-1518
Mailing address
1042 CENTER DR, RICHMOND, KY 40475-3838
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
3731
KY
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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