Individual
KRYSTAL DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
994 G ST, CRESCENT CITY, CA 95531-3417
(707) 464-1722
Mailing address
994 G ST, CRESCENT CITY, CA 95531-3417
(707) 464-1722
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
CA
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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