Individual
DRU FULTON CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 HUNTERS RIDGE DR, CLINTON, MS 39056-9660
(601) 357-0400
Mailing address
313 HUNTERS RIDGE DR, CLINTON, MS 39056-9660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11846
LA
104100000X
Social Worker
M7640
MS
1041C0700X
Clinical Social Worker
Primary
C7640
MS
Other
Enumeration date
08/27/2013
Last updated
04/09/2024
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