Individual
CRYSTAL PETIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 W HOWZE BEACH RD, SLIDELL, LA 70458-8501
(985) 445-1800
(985) 445-1802
Mailing address
132 W HOWZE BEACH RD, SLIDELL, LA 70458-8501
(985) 445-1800
(985) 445-1802
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
14897
LA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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