Individual
MARCIE NICOLE CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 REYNOLDS RD, GLASGOW, KY 42141-1177
(270) 678-4801
(270) 678-3866
Mailing address
104 REYNOLDS RD, GLASGOW, KY 42141-1177
(270) 678-4801
(270) 678-3866
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7303
KY
1041C0700X
Clinical Social Worker
Primary
253029
KY
1041C0700X
Clinical Social Worker
7303
KY
Other
Enumeration date
09/11/2015
Last updated
11/06/2019
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