Individual
MRS. CRYSTAL LYNNE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 SOUTH MAIN STREET, CHAMBERSBURG, PA 17201-2224
(717) 261-1426
(717) 263-1647
Mailing address
200 N 7TH STREET, LEBANON, PA 17046-5040
(717) 273-1710
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015433
PA
Other
Enumeration date
12/27/2006
Last updated
04/21/2010
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