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1023827482
CRYSTAL DOUGLAS
CLARKSTON, WA
NPI
1023827482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID Lsw-41198)
Enumeration Date
2024-12-31
Last Update Date
2024-12-31
Business Address
CRYSTAL DOUGLAS LSW
1370 BRIDGE ST
CLARKSTON, WA 99403-2332
Phone number: 509-758-2568
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Mailing Address
CRYSTAL DOUGLAS LSW
1015 8TH ST
CLARKSTON, WA 99403-2501
Phone number: 208-816-0656
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