Most Relevant Information
Provider Data
| NPI Number: | 1003216458 |
| Provider Name: | CRYSTAL MARIE GREGORY L.C.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 9517405-3501 |
Most Important Dates
| Enumeration Date: | 09/03/2014 |
| Last Updated: | 05/27/2022 |
Provider Practice Location
9361 S 300 E
SANDY
UT
840702902
Practice Location Phone/Fax
| Phone: | 8018265000 |
| Fax: |
Provider Mailing Location
290 N 100 E
LEHI
UT
840431804
Provider Mailing Phone/Fax
| Phone: | 8017033941 |
| Fax: |