Individual
CRYSTAL YVONNE MCCULLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(704) 488-9040
Mailing address
5119 BEAR PAW CT NW, SILVERDALE, WA 98383-9033
(704) 488-9040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
089.0130011
VT
Other
Enumeration date
05/01/2017
Last updated
02/22/2023
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