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Individual

A'STA CRAWFORD HARWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2906 HIGHWAY AVE FL 1, HIGHLAND, IN 46322-1631
(773) 367-6506
Mailing address
455 PRAIRE AVENUE, APT. 1, CALUMET CITY, IL 60409
(773) 367-6506
(773) 367-6506

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-404530
IL

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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