Devon Jacqueline Crisman, LCSW
Social Worker, Clinical in Manchester, TN. Individual provider (NPI-1).
NPI number1164084869
StatusActive
Last updated in NPPESJul 2, 2019
Details
- NPI
- 1164084869
- Entity type
- Individual (NPI-1)
- Name
- Devon Jacqueline Crisman
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2019
- Last updated
- Jul 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6941 | TN | Yes |
Practice location
482 Interstate Dr Ste DManchester, TN 37355-3409
Phone 931-444-1000 · Fax 931-728-1229
Mailing address
482 Interstate DrManchester, TN 37355-3485
Phone 931-444-1000 · Fax 931-728-1229
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