Individual
KRYSTALL JEANETTE LEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
256 MCMILLAN RD, DACULA, GA 30019-2337
(770) 450-6120
Mailing address
2550 BLACKMON DR APT 5206, DECATUR, GA 30033-6238
(859) 200-7891
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010381
GA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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