Individual
BRENDA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4823 N ROYAL ATLANTA DR, TUCKER, GA 30084-3806
(925) 550-0506
Mailing address
4392 WINDSOR OAKS CIR, MARIETTA, GA 30066-2385
(925) 550-0506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
INTERN
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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