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NPI 1609877844

NPI 1609877844 : TERRI LYNN CRAIG LCSW : KEY WEST, FL

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General NPI Number Information
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    NPI Number           |    1609877844
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    Entity Type          |    Individual 
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    Provider Name        |    TERRI LYNN CRAIG LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/10/2005
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    Last Update Date     |    02/06/2025
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Provider Practice Location Address
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    Address Line         |    NAVAL BRANCH HEALTH CLINIC KEY WEST FLORIDA 1300 DOUGLAS CIRCLE
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    City                 |    KEY WEST
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    State                |    FL
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    Zip                  |    33040
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    Country              |    US
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    Telephone            |    305-293-4838
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    Fax                  |    866-467-5868
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Provider Business Mailing Address
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    Address Line         |    713 WADDELL AVE 
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    City                 |    KEY WEST
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    State                |    FL
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    Zip                  |    33040-4728
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    Country              |    US
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    Telephone            |    410-707-4319
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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       |    C001871
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    License Number State |    NC
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