Individual
CRYSTAL LATORY NORWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, S/T, BHC
Contact information
Practice address
2300 W PARK PLACE BLVD STE 135, STONE MOUNTAIN, GA 30087-3561
(678) 330-1400
Mailing address
679 AMAL DR SW, ATLANTA, GA 30315-4840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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