Individual
CRYSTA B GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 2555, PASCAGOULA, MS 39569-2555
(601) 207-3928
Mailing address
PO BOX 2555, PASCAGOULA, MS 39569-2555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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