Individual
CRYSTAL DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1370 BRIDGE ST, CLARKSTON, WA 99403-2332
(509) 758-2568
(509) 758-3413
Mailing address
1015 8TH ST, CLARKSTON, WA 99403-2501
(208) 816-0656
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-41198
ID
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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