Individual
MISS BRENDA KAY CRAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
214 INDUSTRIAL RD, ASHLAND, MS 38603-6761
(662) 224-0078
(662) 224-0079
Mailing address
5820 HWY 3095, BYHALIA, MS 38611
(662) 564-4116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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