Organization
CRYSTAL CLEAR CHILDREN AND YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA P FIELDS LCSW-S (CHIEF EXECUTIVE OFFICER)
(254) 638-8680
Entity
Organization
Contact information
Practice address
4304A E CENTRAL TEXAS EXPY STE A, KILLEEN, TX 76543-7308
(254) 638-8680
(708) 310-6057
Mailing address
4304A E CENTRAL TEXAS EXPY STE A, KILLEEN, TX 76543-7308
(254) 638-8680
(708) 310-6057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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