Individual
RUTH ELLEN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 QUEENSBORO CIR, JOHNSON CITY, TN 37601-2033
(423) 557-8168
Mailing address
4 QUEENSBORO CIR, JOHNSON CITY, TN 37601-2033
(423) 557-8168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003208
TN
Other
Enumeration date
07/14/2006
Last updated
10/12/2012
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