Individual
CRYSTAL WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, MHP
Contact information
Practice address
5902 BUNCOMBE RD, SHREVEPORT, LA 71129
(318) 461-0850
Mailing address
1651 E 70TH ST # 379, SHREVEPORT, LA 71105-5115
(318) 461-0850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9561
LA
Other
Enumeration date
11/27/2015
Last updated
08/30/2021
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