Individual
CRYSTAL BETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
Mailing address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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