MS. Theresa Marie Crisler, LMT, BSW, MS

NPI #1215120332 in Paducah, Kentucky

Provider Information

NPI Number: 1215120332
Entity Type: Individual
Name: MS. Theresa Marie Crisler, LMT, BSW, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT, BSW, MS
Enumeration Date: Aug 22, 2007
Last Updated: Aug 22, 2007

Practice Location

Address: 545 LEBANON CHURCH RD
Address 2: SUITE B
City: Paducah
State: Kentucky
ZIP Code: 42003-9383
Phone: (270) 554-6789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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