CRYSTAL GAYLE BLAINE
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1790614246- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 317 WESTERN BLVD, JACKSONVILLE, NC, 285466338
- Phone
- (910) 577-4900
- Fax
- (910) 577-4910
Specialties & Taxonomies
Social Worker, Clinical
Primary License: NC #P023235