Individual
MISS CRYSTAL MONIQUE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
130 ROBINHOOD DR, HAMMOND, LA 70403-5754
(985) 543-4800
Mailing address
130 ROBINHOOD DR, HAMMOND, LA 70403-5754
(985) 543-4800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11092
LA
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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