Individual
TOM EDWIN CROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
(360) 878-8248
Mailing address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61008662
WA
Other
Enumeration date
09/23/2019
Last updated
12/20/2023
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