Individual
SUSAN L CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 NW 27TH LN STE F, GAINESVILLE, FL 32606-6600
(386) 717-6134
(352) 554-4929
Mailing address
PO BOX 244, BELL, FL 32619-0244
(386) 717-6134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003466800
—
FL
01
—
MH10664
LICENSE
FL
Enumeration date
04/25/2011
Last updated
10/22/2024
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