Individual
CRYSTAL JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 NW 167TH ST, SUITE 102, MIAMI GARDENS, FL 33056-4838
(305) 623-7893
(305) 623-7893
Mailing address
921 NW 75TH ST, MIAMI, FL 33150-3354
(305) 332-3172
(305) 623-7893
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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