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Individual

MS. CRYSTAL R MAYFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW, CADC, CSS

Contact information

Practice address
3107 CINCINNATI RD, GEORGETOWN, KY 40324-9505
(502) 570-9313
Mailing address
3107 CINCINNATI RD, GEORGETOWN, KY 40324-9505
(502) 570-9313

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0898
KY
104100000X
Social Worker

Other

Enumeration date
07/21/2010
Last updated
07/21/2010
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