Individual
CRYSTAL ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1946 WEBSTER AVE, BRONX, NY 10457-4249
(718) 570-3240
Mailing address
11405 166TH ST, JAMAICA, NY 11434-1213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112589
NY
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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