Individual
CRYSTAL D WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
2085 BLACKHAWK TRL, LAWRENCEVILLE, GA 30043-6479
(205) 383-7011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW007818
GA
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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