Individual
STEPHANIE C CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5661 SCREAMING EAGLE BLVD, FORT CAMPBELL, KY 42223-5405
(270) 956-3793
(270) 798-5633
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5349
(270) 798-8601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000005217
TN
Other
Enumeration date
01/21/2010
Last updated
06/20/2018
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