Individual
MRS. CRYSTAL MARIE SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-I, LMSW
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 672-2691
Mailing address
6490 S MCCARRAN BLVD STE B18, RENO, NV 89509-6121
(775) 562-4509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9260-M
NV
104100000X
Social Worker
IC-1940
NV
Other
Enumeration date
04/11/2022
Last updated
08/01/2022
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