Individual
MS. DEONDRA DENISE CRUDUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8396 SIX FORKS RD STE 102, RALEIGH, NC 27615-3058
(919) 576-0390
Mailing address
142 GREENHOUSE ST, ZEBULON, NC 27597-5546
(919) 748-7048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008439
NC
Other
Enumeration date
09/10/2013
Last updated
06/12/2024
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