Individual
CRYSTAL RENEE WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SALUDA RIVER RD APT 1I, COLUMBIA, SC 29210-7859
(803) 977-3656
Mailing address
200 SALUDA RIVER RD APT 1I, COLUMBIA, SC 29210-7859
(803) 977-3656
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-237516
SC
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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