Individual
MARY L CRANE-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
905 E WOOD ST, PARIS, TN 38242-4322
(731) 642-7000
Mailing address
2098 BAKERVILLE RD, WAVERLY, TN 37185-2703
(931) 296-5740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4118193
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/03/2006
Last updated
01/30/2008
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