Individual
MRS. CRYSTAL SMITH MCNIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19824 W CATAWBA AVE, CORNELIUS, NC 28031-4046
(704) 641-4515
(866) 586-7685
Mailing address
PO BOX 680427, CHARLOTTE, NC 28216-0008
(704) 641-4515
(866) 586-7685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005084
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106127
—
NC
Enumeration date
02/17/2007
Last updated
01/07/2017
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