Individual
CRYSTAL REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 N 1ST ST STE C, GLENWOOD, AR 71943-9252
(870) 825-2060
Mailing address
PO BOX 575, DIERKS, AR 71833-0575
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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