Individual
CASUNDA CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/04/2007
Last updated
07/23/2012
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