Individual
MS. CRYSTAL DEPIETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A, CCM
Contact information
Practice address
2212 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4228
(910) 779-0454
Mailing address
5614 ROCKFISH RD, HOPE MILLS, NC 28348-1845
(910) 551-0835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013070
NC
Other
Enumeration date
11/09/2018
Last updated
05/11/2020
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