Individual
MS. MELINDA CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
617 23RD ST STE 8B, ASHLAND, KY 41101-2845
(606) 408-1290
Mailing address
617 23RD ST STE 8B, ASHLAND, KY 41101-2845
(606) 408-1290
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S 1000162
OH
1041C0700X
Clinical Social Worker
Primary
254125
KY
1041C0700X
Clinical Social Worker
5663
KY
Other
Enumeration date
08/04/2011
Last updated
02/12/2024
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