Individual
JACQUE MCCRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1301 CONTINENTAL DR STE 101, ABINGDON, MD 21009-2338
(667) 600-3220
Mailing address
1301 CONTINENTAL DR STE 101, ABINGDON, MD 21009-2338
(667) 600-3220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25473
MD
Other
Enumeration date
01/26/2021
Last updated
01/29/2021
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