Individual
JAMAICA CRYSTAL SHIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWII
Contact information
Practice address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
(740) 918-9616
Mailing address
5439 BURKHARDT RD, DAYTON, OH 45431-2111
(740) 918-9616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
05/30/2023
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