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Individual

CRYSTAL AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60822963
WA

Other

Enumeration date
02/06/2018
Last updated
02/06/2018
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