Provider Information for 1043405392
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TRUDY SMITH CROW LCSW
Sex: Female
NPI: 1043405392
Last Updated: 2019-12-12
Certification Date: 2019-12-12
Certification Date: 2019-12-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043405392 | ||||||||
| Enumeration Date | 2007-09-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 207 FRANKIE LN WHITE HALL, AR 71602-2683 United States Phone: 870-209-6804 | Fax: | ||||||||
| Primary Practice Address | 207 FRANKIE LN WHITE HALL, AR 71602-2683 United States Phone: 870-209-6804 | Fax: | ||||||||
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