Individual
LAURENCE TERRELL CROSSLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10300 BROOKRIDGE VILLAGE BLVD STE 104, LOUISVILLE, KY 40291-4474
(502) 785-4322
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259705
KY
1041C0700X
Clinical Social Worker
7164
KY
Other
Enumeration date
08/03/2021
Last updated
02/05/2025
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