Individual
CHARLISA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW; PCMHT
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(769) 243-6191
Mailing address
770 LAKELAND DR APT 227, JACKSON, MS 39216-4656
(601) 906-7083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M11914
MS
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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