Individual
CRYSTAL DIANE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 W MAIN ST, JACKSONVILLE, AR 72076-4215
(501) 982-4578
(501) 982-1253
Mailing address
2520 W MAIN ST, JACKSONVILLE, AR 72076-4214
(501) 982-4578
(501) 982-1253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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