Individual
CRYSTAL WHITTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 S MAIN ST, LAURINBURG, NC 28352-3833
(910) 610-4494
Mailing address
303 S MAIN ST, LAURINBURG, NC 28352-3833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P005981
NC
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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