| Doctor Name: | CRYSTAL ANN HAIRGROVE |
| NPI Number: | 1194811554 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 5839 |
| Business Practice Address: | 3353 University Parkway Leesville, LA - 71446 |
| Business Phone Number: | 3373923801 |
| Business Fax Number: | 3184439116 |
| Mailing Address: | 3353 University Parkway, LEESVILLE |
| State: | LA |
| Postal Code: | 71446 |
| Phone Number: | 3373923801 |
| Fax Number: | 3184439116 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 5839 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |