Individual
MS. CRYSTAL NICOLE LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
550 SUMMIT AVE, TROY, OH 45373-3047
(937) 335-0361
Mailing address
550 SUMMIT AVE, TROY, OH 45373-3047
(937) 335-0361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0032075
OH
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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