Individual
MS. KHRYSTAL MARIE DUPRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1989 MADISON ST, CLARKSVILLE, TN 37043-5067
(504) 472-4277
Mailing address
1989 MADISON ST, CLARKSVILLE, TN 37043-5067
(931) 820-0210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000010984
TN
171M00000X
Case Manager/Care Coordinator
11694
LA
Other
Enumeration date
08/21/2020
Last updated
01/26/2021
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