Individual
CRYSTAL DANIELLE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
249 E NC HIGHWAY 54, DURHAM, NC 27713-7512
(919) 907-3334
Mailing address
4900 EDGERTON DR APT 314, RALEIGH, NC 27612-7127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013652
NC
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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