Individual
HOLIDAY DEAN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W HIGH ST, WOODBURY, TN 37190-1226
(318) 525-6805
Mailing address
511 MILESDALE LN, SMYRNA, TN 37167-5723
(318) 525-6805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14313943
TN
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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