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1104293711
CRYSTAL CHANCE
FREDERICKSBURG, VA
NPI
1104293711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904009134)
Enumeration Date
2015-08-31
Last Update Date
2018-09-06
Business Address
CRYSTAL CHANCE LCSW
1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Phone number: 540-735-0650
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Mailing Address
CRYSTAL CHANCE LCSW
1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401-6213
Phone number: 540-735-0650
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