Individual
ALLYSON MCCREA JERVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
605 E UNIVERSITY AVE, GEORGETOWN, TX 78626-7033
(512) 663-5870
Mailing address
605 E UNIVERSITY AVE, GEORGETOWN, TX 78626-7033
(512) 663-5870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW31000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86348Q
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
10/24/2006
Last updated
07/09/2007
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