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Individual

THOMAS MARK CRUEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7906
(859) 359-5404
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/25/2018
Last updated
04/25/2018
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