Individual
MARY CHRISTINE CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11 BEAVER MEADOW RD, NORWICH, VT 05055-9305
(802) 649-2260
Mailing address
PO BOX 162, THETFORD CENTER, VT 05075-0162
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71955
VT
Other
Enumeration date
07/17/2006
Last updated
06/01/2011
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