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Individual

CHARLOTTE M CRAXTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
636 E ORMSBY AVE, LOUISVILLE, KY 40203-2623
(502) 489-0254
Mailing address
636 E ORMSBY AVE, LOUISVILLE, KY 40203-2623
(502) 489-0254

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254072
KY

Other

Enumeration date
07/02/2019
Last updated
07/02/2019
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