Individual
THERESA M. CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 MAIN ST, JACKMAN, ME 04945-5002
(207) 668-5291
Mailing address
606 MAIN ST, JACKMAN, ME 04945-5002
(207) 668-5291
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAS1785
ME
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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