Individual
MRS. CRYSTAL GAYLE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 US HIGHWAY 25 E, MIDDLESBORO, KY 40965-2069
(606) 627-2354
Mailing address
367 FISHER CEMETERY RD, BARBOURVILLE, KY 40906-7456
(606) 627-2354
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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