Individual
MONIQUE CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2012008066
MO
1041C0700X
Clinical Social Worker
Primary
2014022213
MO
Other
Enumeration date
08/09/2013
Last updated
07/15/2014
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