Individual
MRS. LOAN CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174
Mailing address
128 BRENTWOOD DR, DAPHNE, AL 36526-7546
(850) 313-9394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2485C
AL
1041C0700X
Clinical Social Worker
SW9905
FL
Other
Enumeration date
06/23/2010
Last updated
12/05/2014
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