Individual
CRYSTAL WHITLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
918 E JEFFERSON BLVD, SOUTH BEND, IN 46617-3104
(574) 210-0771
(574) 314-6486
Mailing address
918 E JEFFERSON BLVD, SOUTH BEND, IN 46617-3104
(574) 210-0771
(574) 314-6486
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
12/19/2016
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