Individual
MS. LAQUTIA V CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3918 JEFFERSONVILLE RD, MACON, GA 31217-6022
(478) 342-3015
Mailing address
3918 JEFFERSONVILLE RD STE 140, MACON, GA 31217-6022
(478) 342-3015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MSW008154
GA
1041C0700X
Clinical Social Worker
CSW007834
GA
Other
Enumeration date
08/22/2020
Last updated
01/04/2022
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