Organization
CRYSTAL WARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEE WARD LCSW (OWNER/THERAPIST)
(708) 665-5476
Entity
Organization
Contact information
Practice address
1010 LAKE ST STE 616, OAK PARK, IL 60301-1136
(708) 665-5476
Mailing address
1019 WASHINGTON BLVD APT 102, OAK PARK, IL 60302-3749
(815) 970-5047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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