Individual
KELLI ALISE CRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6918 SHALLOWFORD RD STE 326, CHATTANOOGA, TN 37421-1553
(423) 827-7695
Mailing address
736 CARROL DR, RINGGOLD, GA 30736-8452
(423) 888-2122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16089
TN
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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