Individual
MRS. BRENDA KAY CREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
127 GARY ST, GULFPORT, MS 39503-3503
(228) 832-4495
(228) 832-4495
Mailing address
127 GARY ST, GULFPORT, MS 39503-3503
(228) 832-4495
(228) 832-4495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1889
MS
Other
Enumeration date
08/17/2008
Last updated
08/17/2008
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