Individual
CRYSTAL WALLINGSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
(318) 398-0099
Mailing address
622 RIVERSIDE DR, P.O. BOX 9493, MONROE, LA 71201-6211
(318) 398-0945
(318) 398-0099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12940
LA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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