Individual
MRS. CRESHAWNA WILSON CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-2181
Mailing address
149 HART ST, SHEPPARD AFB, TX 76311-3430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
Q1-0001484
DE
Other
Enumeration date
08/13/2014
Last updated
12/07/2020
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