Individual
MRS. CRYSTAL ANN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GLENN ST, CUMBERLAND, MD 21502-2573
(240) 580-1919
(240) 362-7409
Mailing address
45 MITCHELL ST, ROMNEY, WV 26757-6871
(304) 822-6009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP7406
MD
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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