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Individual
IMELDA JEAN CROTHERS
Active
Individual
IMELDA JEAN CROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
55289
TX
1041C0700X
Clinical Social Worker
Primary
LW61626650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55289
TX LCSW LICENSE
TX
Enumeration date
03/21/2017
Last updated
01/14/2025
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