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Individual
MS. MARY ANN CREWDSON
Active
Individual
MS. MARY ANN CREWDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CPT, QMHP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007567
CT
1041C0700X
Clinical Social Worker
3867
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236338
—
CT
Enumeration date
12/26/2006
Last updated
03/30/2011
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