Individual
REBECCA NICOLE CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
PO BOX 52, PINEVILLE, KY 40977-0052
(606) 269-8651
Mailing address
PO BOX 52, PINEVILLE, KY 40977-0052
(606) 269-8651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259206
KY
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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