Individual
CRYSTAL PONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
7118 MAIN ST, WADE, NC 28395-9749
(910) 483-6694
(910) 483-2215
Mailing address
PO BOX 449, WADE, NC 28395-0449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019490
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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