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Individual

MONICA SHONEA CRUMPLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3114 AUGUSTA TECH DR STE 101, AUGUSTA, GA 30906-3372
(706) 432-6268
Mailing address
3114 AUGUSTA TECH DR STE 101, AUGUSTA, GA 30906-3372
(706) 432-6268

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007696
GA
1041C0700X
Clinical Social Worker
P007380
NC
1041S0200X
School Social Worker
9800006
NC

Other

Enumeration date
06/22/2012
Last updated
11/15/2021
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