Individual
MS. MARILYN I. CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, BCD, DCSW
Contact information
Practice address
1201 BISHOP ST, UNION CITY, TN 38261-5403
(731) 884-8203
(731) 884-8564
Mailing address
139 GLENWOOD DR, MARTIN, TN 38237-2301
(731) 587-9008
(731) 588-0388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003563
TN
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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