Miss Crystal Marie Chuk
Clinical Social Worker
4406 Park Blvd Suite B
San Diego
, California 92116-4047
Miss Crystal Marie Chuk
Clinical Social Worker
4406 Park Blvd Suite B
San Diego
, California 92116-4047
(619) 339-3644
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Miss Crystal Marie Chuk
- 4406 Park Blvd Suite B
- San Diego, CA
- Zip : 92116-4047
- Phone : (619) 339-3644
Second Address
- Miss Crystal Marie Chuk
- 4406 Park Blvd Suite B
- San Diego, CA
- Zip : 92116-4047
- Phone : (619) 339-3644
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 60521 | CA |
National Provider Identifier
| NPI | 1003136037 |
|---|---|
| Provider Name | Miss Crystal Marie Chuk |
| First Address | San Diego, CA 92116-4047 |
| Second Address | San Diego, CA 92116-4047 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2010 |
| Last Update Date | 05/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.