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Individual

SHANA D CRUMBOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4110 HIGHWAY 31 S, DECATUR, AL 35602
(256) 355-6091
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 355-6091

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/09/2010
Last updated
02/09/2010
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