Individual
MRS. CRYSTAL NICOLE LEATCH GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, RN
Contact information
Practice address
10200 SIX PINES DR APT 511, SHENANDOAH, TX 77380-2596
(832) 457-2484
Mailing address
10200 SIX PINES DR APT 511, SHENANDOAH, TX 77380-2596
(832) 457-2484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50233
TX
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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