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Individual

MRS. CRYSTAL MARIE FORREST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMBT

Contact information

Practice address
46527 RANDALLS CHURCH RD, NORWOOD, NC 28128
(704) 984-2553
(704) 474-3568
Mailing address
46527 RANDALLS CHURCH RD, NORWOOD, NC 28128
(704) 984-2553
(704) 474-3568

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
#1634
NC
225700000X
Massage Therapist
#286332-00

Other

Enumeration date
05/22/2009
Last updated
05/22/2009
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