Individual
CRYSTAL JEAN HANNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
561 E TABERNACLE ST, ST GEORGE, UT 84770-2944
(435) 673-2899
Mailing address
561 E TABERNACLE ST, ST GEORGE, UT 84770-2944
(435) 673-2899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10414942-3501
UT
247200000X
Other Technician
—
—
Other
Enumeration date
04/02/2013
Last updated
08/13/2021
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