Individual
MRS. MARY LUCIAN L CRONKITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 7TH AVE, JASPER, AL 35501-4377
(205) 387-0541
Mailing address
3725 BELFORT RD, JACKSONVILLE, FL 32216-5813
(904) 296-1055
(904) 448-1820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7653913 00
—
FL
05
—
7667965 00
—
FL
Enumeration date
08/02/2006
Last updated
07/26/2024
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