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Individual

CHRYSTAL LYNETTE ROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
783 BASQUE WAY STE 111, CARSON CITY, NV 89706-7981
(775) 234-5239
(775) 490-4766
Mailing address
1914 HAMILTON AVE, CARSON CITY, NV 89706-2723
(775) 234-5239
(775) 490-4766

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6741-M
NV
104100000X
Social Worker
9184-M
NV
1041C0700X
Clinical Social Worker
Primary
11570C
NV

Other

Enumeration date
03/02/2022
Last updated
08/28/2024
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