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Individual

MR. GREG S CRUMLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMFT

Contact information

Practice address
313 N SENECA ST STE 108, WICHITA, KS 67203-5937
(316) 214-5247
(888) 416-7189
Mailing address
17219 W 39TH ST S, GODDARD, KS 67052-8256
(316) 214-5247
(888) 416-7189

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
811
KS
106H00000X
Marriage & Family Therapist
Primary
811
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201070970A
KS
Enumeration date
06/11/2007
Last updated
05/08/2024
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