Individual
CRYSTAL GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-9089
Mailing address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-9089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1802430
OH
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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