Most Relevant Information
Provider Data
| NPI Number: | 1003205121 |
| Provider Name: | CRYSTA FLETCHER LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | I1000115 |
Most Important Dates
| Enumeration Date: | 01/13/2015 |
| Last Updated: | 12/20/2017 |
Provider Practice Location
3284 NORTH BEND RD
SUITE 314
CINCINNATI
OH
452397688
Practice Location Phone/Fax
| Phone: | 5134812432 |
| Fax: | 5136622432 |
Provider Mailing Location
4760 MADISON RD
CINCINNATI
OH
452271426
Provider Mailing Phone/Fax
| Phone: | 5138610035 |
| Fax: |