Individual
MRS. CRYSTAL MARIE DE ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
1149 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 468-2335
Mailing address
7307 LARKSPUR LN, STOCKTON, CA 95207-1628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
01/14/2014
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