Individual
MR. COREY CRAIG CRUTCHFIELD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4152
(573) 778-4154
Mailing address
106 EAGLE RDG, POPLAR BLUFF, MO 63901-9187
(573) 712-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014026537
MO
Other
Enumeration date
01/15/2014
Last updated
12/20/2019
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