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1356907422
CRYSTAL SUE EDWARDS
WASILLA, AK
NPI
1356907422
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Former Name
CRYSTAL SUE VAUGHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AK 151869)
Enumeration Date
2019-05-14
Last Update Date
2019-10-22
Business Address
CRYSTAL SUE EDWARDS LMSW
133 E SWANSON AVE
WASILLA, AK 99654
Phone number: 907-864-0560
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Mailing Address
CRYSTAL SUE EDWARDS LMSW
133 E SWANSON AVE
WASILLA, AK 99654-7025
Phone number:
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