Individual
CRYSTAL OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 BANKS WAY APT A, ATLANTA, GA 30349-7093
(678) 768-5420
Mailing address
2035 BANKS WAY APT A, ATLANTA, GA 30349-7093
(678) 768-5420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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