Individual
CRYSTAL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CADC II
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
505 NAVARRE DR, STONE MOUNTAIN, GA 30087-5112
(912) 441-4270
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008221
GA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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