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1104421890
CRYSTAL M LEE
LAFAYETTE, LA
NPI
1104421890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 10555)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
CRYSTAL M LEE LCSW
330 FEU FOLLET RD APT 220
LAFAYETTE, LA 70508-4260
Phone number: 337-852-9151
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Mailing Address
CRYSTAL M LEE LCSW
330 FEU FOLLET RD APT 220
LAFAYETTE, LA 70508-4260
Phone number: 337-852-9151
Copy
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