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Individual

MS. ANNETTE MARIA CRAWFORD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSW,LCSW

Contact information

Practice address
98 MCCORMACK DR, LAKE GEORGE, NY 12845-3425
(518) 792-4167
(518) 792-4125
Mailing address
98 MCCORMACK DR, LAKE GEORGE, NY 12845-3425
(518) 792-4167
(518) 792-4125

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R029866-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000493013001
BLUE SHIELD
NY
01
N42151
BLUE CROSS
NY
Enumeration date
10/11/2005
Last updated
07/08/2007
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