Individual
CRYSTAL JEAN CARRAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
LSW7948
TN
1041C0700X
Clinical Social Worker
Primary
C007363
NC
1041C0700X
Clinical Social Worker
P005548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007917
—
NC
Enumeration date
08/21/2008
Last updated
08/12/2024
Update your record
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