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General NPI Number Information
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NPI Number | 1750648168
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Entity Type | Individual
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Provider Name | CYNTHIA CRASE-HICKS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1184 S LAKE DR STE 2
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City | PRESTONSBURG
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State | KY
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Zip | 41653-1349
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Country | US
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Telephone | 606-506-4340
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Fax | 606-506-4339
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Provider Business Mailing Address
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Address Line | PO BOX 102
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City | PRESTONSBURG
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State | KY
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Zip | 41653-0102
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Country | US
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Telephone | 606-506-4340
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Fax | 606-506-4339
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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 | 5132
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License Number State | KY
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