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1083061527
CRYSTAL RICHARD
CHARLOTTE, NC
NPI
1083061527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A11520)
Enumeration Date
2016-05-14
Last Update Date
2022-08-22
Business Address
CRYSTAL RICHARD LCMHC
4415 MONROE RD
CHARLOTTE, NC 28205-7754
Phone number: 704-332-3634
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Mailing Address
CRYSTAL RICHARD LCMHC
1632 STONEY CREEK LN
CHARLOTTE, NC 28262-3180
Phone number: 704-807-7229
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