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Organization
CROSSLAND COMMUNITY BAPTIST CHURCH, INC.
Active
Organization
CROSSLAND COMMUNITY BAPTIST CHURCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG FARRELL (PRESIDENT)
(270) 842-4428
Entity
Organization
Contact information
Practice address
600 US 31W BYP STE 18D, BOWLING GREEN, KY 42101-4906
(270) 780-4311
Mailing address
600 US 31W BYP STE 18D, BOWLING GREEN, KY 42101-4906
(270) 780-4311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/28/2025
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