Individual
ALLYCIA NICOLE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3785 NEW TOWN BLVD, SAINT CHARLES, MO 63301-4358
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019030579
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992257968
—
MO
Enumeration date
10/26/2016
Last updated
08/11/2021
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