Individual
KAREN CRUMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414
(843) 852-4100
Mailing address
140 IVY GREEN WAY APT 14111, CHARLESTON, SC 29414-2809
(678) 536-6935
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12369
SC
104100000X
Social Worker
224369
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
08/26/2016
Last updated
03/02/2020
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