Individual
MS. CRYSTAL HALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-0172
Mailing address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-0172
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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