Individual
MRS. CRYSTAL ANTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7620 GOODWOOD BLVD, BATON ROUGE, LA 70806-7622
(225) 978-0008
(225) 367-4927
Mailing address
12636 LARIAT AVE, GREENWELL SPRINGS, LA 70739-3035
(225) 978-8336
(225) 367-4927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8331
LA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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