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Individual

CRYSTAL NEWKIRK JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LISW-CP

Contact information

Practice address
160 MEDICAL CIR FL 1, WEST COLUMBIA, SC 29169-3639
(803) 796-6811
(803) 796-6851
Mailing address
747 EDENHALL DR, COLUMBIA, SC 29229-7092
(919) 368-2417

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11789
SC
1041C0700X
Clinical Social Worker
C008599
NC
1041C0700X
Clinical Social Worker
P005855
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235417775
NC
05
SW1296
SC
Enumeration date
08/02/2011
Last updated
07/21/2022
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