Theresa Marie Crisler LMT, BSW, MS

NPI 1215120332 - Specialist - 174400000X

NPI Details
NPI 1215120332
Gender Female
Enumeration Date 08/22/2007
Last Updated 08/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
545 LEBANON CHURCH RD
SUITE B
PADUCAH KY, 42003-9383, US
Phone (270) 554-6789
Fax (270) 554-3429
Business Location
545 LEBANON CHURCH RD
SUITE B
PADUCAH KY, 42003-9383, US
Phone (270) 554-6789
Fax (270) 554-3429
Toxanomy
Taxonomy Code 174400000X
License State Kentucky
License Number KY-0001
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According to our database, Ms. Theresa Marie Crisler LMT, BSW, MS NPI is 1215120332, taxonomy code is 174400000X and license number is KY-0001, license state is located at Kentucky. Theresa Marie Crisler LMT, BSW, MS physically located at 545 Lebanon Church Rd, Paducah KY, 42003-9383. NPI Number Theresa Marie Crisler LMT, BSW, MS has the Individual type.

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1215120332 NPI number is provided on an as is basis without warranty of any kind. 1215120332 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Marie Crisler LMT, BSW, MS are for informational purposes only.