Provider Information for 1366017543
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KACIE THOMAS-CRAWFORD LCMHC
Sex: Female
NPI: 1366017543
Last Updated: 2025-03-20
Certification Date: 2025-03-20
Certification Date: 2025-03-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1366017543 | ||||||||
| Enumeration Date | 2021-05-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7104 FOX CREEK LN APT 201 CHARLOTTE, NC 28269-5064 United States Phone: 980-621-7247 | Fax: | ||||||||
| Primary Practice Address | 7104 FOX CREEK LN CHARLOTTE, NC 28269-5063 United States Phone: 980-621-7247 | Fax: | ||||||||
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