CRYSTAL LOUISE GREEN

SHELTON, WA
NPI1114535150
Former NameCRYSTAL LOUISE BURNS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-07-15
Last Update Date2020-07-15
Business Address
Mrs. CRYSTAL LOUISE GREEN
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 360-839-2822
Mailing Address
Mrs. CRYSTAL LOUISE GREEN
19206 21ST ST SW
LAKEBAY, WA 98349-9280
Phone number: 125-329-2888
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