Individual
CRYSTAL VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 HORNELL LOOP APT 4G, BROOKLYN, NY 11239-2515
(347) 277-3568
Mailing address
1500 HORNELL LOOP APT 4G, BROOKLYN, NY 11239-2515
(347) 277-3568
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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