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1710457643
CRYSTAL D WITHERSPOON
DECATUR, GA
NPI
1710457643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA MSW007818)
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
CRYSTAL D WITHERSPOON LMSW
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 404-378-2300
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Mailing Address
CRYSTAL D WITHERSPOON LMSW
2085 BLACKHAWK TRL
LAWRENCEVILLE, GA 30043-6479
Phone number: 205-383-7011
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