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General NPI Number Information
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NPI Number | 1497009476
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Entity Type | Individual
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Provider Name | KRISTEN R CROSSEN LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 204 SHORT LEAF DR
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City | BUDA
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State | TX
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Zip | 78610-2568
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Country | US
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Telephone | 774-345-9506
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Fax |
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Provider Business Mailing Address
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Address Line | 204 SHORT LEAF DR
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City | BUDA
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State | TX
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Zip | 78610-2568
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Country | US
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Telephone | 774-345-9506
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 116946
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 105114
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License Number State | TX
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