Individual
CHARLENE KREMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3341 YOUREE DR STE 101, SHREVEPORT, LA 71105-2125
(318) 219-4167
Mailing address
74 W 6TH ST, FROSTPROOF, FL 33843-2320
(318) 185-2032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20175
FL
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023574400
—
FL
Enumeration date
10/28/2016
Last updated
10/12/2022
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