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Individual

MS. KIMBERLY SUE CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, LICSW

Contact information

Practice address
331 BROADWAY, PROVIDENCE, RI 02909-1101
(616) 799-0993
Mailing address
331 BROADWAY, PROVIDENCE, RI 02909-1101
(616) 799-0993

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801085652
MI
1041C0700X
Clinical Social Worker
Primary
ISW02381
RI

Other

Enumeration date
04/23/2012
Last updated
02/04/2014
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