Stephanie A Crofutt, LCSW
Social Worker, Clinical in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1164021937
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1164021937
- Entity type
- Individual (NPI-1)
- Name
- Stephanie A Crofutt
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2020
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW14936 | FL | Yes |
Practice location
330 Sw 27th AveFort Lauderdale, FL 33312-2051
Phone 954-463-0911
Mailing address
4740 N State Road 7Lauderdale Lakes, FL 33319-5839
Phone 954-486-4005 · Fax 954-497-3857
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