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Mark H Crowell, LCSW

Social Worker in Jackson, TN. Individual provider (NPI-1).

NPI number1124055843
StatusActive
Last updated in NPPESOct 23, 2009

Details

NPI
1124055843
Entity type
Individual (NPI-1)
Name
Mark H Crowell
Credential
LCSW
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2006
Last updated
Oct 23, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker0387TNYes
1041C0700X Social Worker, Clinical0387TN

Practice location

238 Summar Dr
Jackson, TN 38301-3906

Phone 731-541-8200 · Fax 731-541-8327

Mailing address

1804 Highway 45 Byp
Ste. 604
Jackson, TN 38305-4436

Phone 731-660-8755 · Fax 731-660-8739

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