Individual
MS. THERESA MARIE CRISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BSW, MS
Contact information
Practice address
545 LEBANON CHURCH RD, SUITE B, PADUCAH, KY 42003-9383
(270) 554-6789
(270) 554-3429
Mailing address
545 LEBANON CHURCH RD, SUITE B, PADUCAH, KY 42003-9383
(270) 554-6789
(270) 554-3429
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY-0001
KY
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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