Individual
CRYSTAL GUTIERREZ IMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
2700 S PROVIDENCE RD STE 200, WAXHAW, NC 28173-6317
(704) 289-2553
Mailing address
1451 S ELM EUGENE ST # 3109, GREENSBORO, NC 27406-2200
(336) 365-2354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020166
NC
Other
Enumeration date
01/30/2024
Last updated
06/13/2024
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