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Individual

CAROL ANN CRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5905 'O' ST., LINCOLN, NE 68510
(402) 436-1660
Mailing address
5905 O ST, LINCOLN, NE 68510-2235

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
729
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
729
NE
Enumeration date
08/09/2017
Last updated
08/09/2017
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