Individual
TINA M CREASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 E FRAZIER AVE, COLUMBIA, KY 42728-1915
(270) 384-4719
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3219
KY
Other
Enumeration date
03/29/2013
Last updated
04/15/2014
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