Individual
CRYSTAL WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 GRACE LN, DIANA, TX 75640
(903) 918-2866
Mailing address
119 GRACE LN, DIANA, TX 75640-3983
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
32793
TX
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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