Individual
CRYSTAL ALISA KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
160 N BEACH ST, DAYTONA BEACH, FL 32114-3314
(386) 944-4707
(386) 868-2569
Mailing address
100 BENT TREE DR, #50, DAYTONA BEACH, FL 32114-1195
(904) 616-8499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8323
FL
Other
Enumeration date
02/21/2008
Last updated
08/17/2012
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