Provider Information for 1366835316
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CRYSTAL WILLIAMS MSW, LSW, LCSW
Sex: Female
NPI: 1366835316
Last Updated: 2019-08-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1366835316 | ||||||||||||
| Enumeration Date | 2015-03-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 320 W 37TH ST FL 7 NEW YORK, NY 10018-4289 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 4309 S KING DR CHICAGO, IL 60653-3308 United States Phone: 773-451-1329 | Fax: | ||||||||||||
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