Krystal Madeline Avila
NPI #1003386442 in Stockton, California
Provider Information
- NPI Number
- 1003386442
- Entity Type
- Individual
- Name
- Krystal Madeline Avila
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 28, 2018
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 2495 W MARCH LN
- City
- Stockton
- State
- California
- ZIP Code
- 95207-8251
- Phone
- (209) 465-1080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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