Individual
NICOLE CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
871 4TH ST, MASON, WV 25260-0811
(740) 438-1140
Mailing address
PO BOX 811, MASON, WV 25260-0811
(740) 438-1140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2507086
OH
Other
Enumeration date
10/17/2018
Last updated
09/05/2025
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