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NPI Code Detail

MEDICARE: CRYSTAL D WILLS LCSW

MEDICARE:   CRYSTAL D WILLS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLW61657235WA
21041C0700XClinical Social Worker118169TX
31041C0700XClinical Social Worker149.026516IL

General Provider Information

NPI Number : 1235869694
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL D WILLS LCSW
Provider Business Mailing Address
First Line : 9600 VETERANS DR SW
Second Line :
City : TACOMA
State : WA
Zip : 98493-0003
Country : US
Telephone Number : 206-928-4427
Fax Number :
Provider Business Practice Location Address
First Line : 9600 VETERANS DR SW
Second Line :
City : TACOMA
State : WA
Zip : 98493-0003
Country : US
Telephone Number : 253-583-1680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2022
Last Update Date : 03/16/2026

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Directions to “ CRYSTAL D WILLS LCSW” Practice Location

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