Most Relevant Information
Provider Data
| NPI Number: | 1003062480 |
| Provider Name: | BRENDA KAY CREW LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | C1889 |
Most Important Dates
| Enumeration Date: | 08/17/2008 |
| Last Updated: | 08/17/2008 |
Provider Practice Location
127 GARY ST
GULFPORT
MS
395033503
Practice Location Phone/Fax
| Phone: | 2288324495 |
| Fax: | 2288324495 |
Provider Mailing Location
127 GARY ST
GULFPORT
MS
395033503
Provider Mailing Phone/Fax
| Phone: | 2288324495 |
| Fax: | 2288324495 |