Individual
MS. CANDICE BLAIR CROSSNINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6219 FOREST GROVE DR, MEMPHIS, TN 38119-6535
(901) 262-5271
Mailing address
6219 FOREST GROVE DR, MEMPHIS, TN 38119-6535
(901) 262-5271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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