Aldred-Crouch, Mary Rogers

Aldred-Crouch, Mary Rogers is an sole proprietor health care provider with primary practice located at Rr 2, Box 753 , Milton WV 25541-9506. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Aldred-Crouch, Mary Rogers can be contacted via phone (304) 972-4911.

Contact Information

Primary practice address
Rr 2, Box 753 Milton WV 25541-9506
Phone: (304) 972-4911
Fax: (866) 651-5220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X DP00942200 West Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 510829

Profile Details

NPI number 1326198094
LBN Legal business name Aldred-Crouch, Mary Rogers
Credentials MSW, MPH, LICSW, MAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Sep 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326198094 NPPES
West Virginia Other Q45603G MEDICARE

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