Individual
DEANA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 EAST SECOND STREET, APT B, MEDIA, PA 19063
(610) 565-4679
Mailing address
600 ABBOTT DR, BROOMALL, PA 19008-4317
(484) 476-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/22/2014
Last updated
12/08/2016
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