Individual
WILFORD CRAIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-09484
NM
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/19/2019
Last updated
11/27/2023
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