Individual
CRYSTAL NICOLE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 672-8663
Mailing address
7901 4TH ST N STE 4000, SAINT PETERSBURG, FL 33702-4305
(352) 672-8663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
05/19/2023
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