Individual
CRYSTAL CAICEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6278 FLEETWOOD CT, 1, FORT RILEY, KS 66442-3342
(954) 662-4582
Mailing address
6278 FLEETWOOD CT, 1, FORT RILEY, KS 66442-3342
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60567967
WA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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