CRYSTAL HAVINS

FORT WAYNE, IN
NPI1396106068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34009649A)
Additional Taxonomies104100000X Social Worker
(Licence: IN  33007471A)
Enumeration Date2016-03-09
Last Update Date2022-04-13
Business Address
CRYSTAL HAVINS
2423 FAIRFIELD AVE
FORT WAYNE, IN 46807-1210
Phone number: 260-745-9431
Mailing Address
CRYSTAL HAVINS
2423 FAIRFIELD AVE
FORT WAYNE, IN 46807-1210
Phone number: 260-745-9431