Individual
IMELDA JEAN CROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
52 RICHLAND DR, BELTON, TX 76513-5769
(254) 654-0055
(800) 747-3074
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(254) 654-0055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
55289
TX
1041C0700X
Clinical Social Worker
Primary
LW61626650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55289
TX LCSW LICENSE
TX
Enumeration date
03/21/2017
Last updated
01/14/2025
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