Individual
KELLY A CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
2928 W 5TH ST, FORT WORTH, TX 76107-2242
(817) 332-6348
(817) 332-6489
Mailing address
2928 W 5TH ST, FORT WORTH, TX 76107-2242
(817) 332-6348
(817) 332-6489
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33757
TX
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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