Individual
CRYSTAL ANN HAIRGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(337) 375-1050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5839
LA
1041C0700X
Clinical Social Worker
Primary
—
LA
Other
Enumeration date
10/05/2006
Last updated
09/07/2023
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