Individual
MRS. CRYSTAL RAEQUEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3465 LAWRENCEVILLE SUWANEE RD STE C, SUWANEE, GA 30024-7467
(404) 444-7575
(770) 985-2021
Mailing address
3847 ELM TRACE CT, LOGANVILLE, GA 30052-8770
(404) 444-7575
(770) 985-2021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003527
GA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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