Individual
MRS. KRYSTAL JEAN DEVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW
Contact information
Practice address
202 LYTLE SCHOOL RD, SANDY LAKE, PA 16145-3112
(412) 215-9417
Mailing address
202 LYTLE SCHOOL RD, SANDY LAKE, PA 16145-3112
(412) 215-9417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I.1801346
OH
1041C0700X
Clinical Social Worker
Primary
CW015706
PA
Other
Enumeration date
07/08/2006
Last updated
07/14/2023
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