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1851153282
CRYSTAL GUTIERREZ IMES
WAXHAW, NC
NPI
1851153282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P020166)
Enumeration Date
2024-01-30
Last Update Date
2024-06-13
Business Address
CRYSTAL GUTIERREZ IMES MSW, LCSWA
2700 S PROVIDENCE RD STE 200
WAXHAW, NC 28173-6317
Phone number: 704-289-2553
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Mailing Address
CRYSTAL GUTIERREZ IMES MSW, LCSWA
1451 S ELM EUGENE ST # 3109
GREENSBORO, NC 27406-2200
Phone number: 336-365-2354
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