Individual
CRYSTAL ALENE WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
130 CARBONTON RD, SANFORD, NC 27330-4009
(919) 774-6125
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014253
NC
Other
Enumeration date
01/03/2020
Last updated
01/28/2020
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