Individual
MRS. CRYSTAL DAWN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 FAYETTEVILLE ST, RALEIGH, NC 27601-1792
(877) 418-2978
(866) 500-2186
Mailing address
4201 FAYETTEVILLE RD, RALEIGH, NC 27603-3607
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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