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Individual

JANIA CRUTCHFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19 GILES DR, DEFUNIAK SPRINGS, FL 32435-7828
(850) 419-7158
Mailing address
19 GILES DR, DEFUNIAK SPRINGS, FL 32435-7828
(336) 297-8992

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
253Z00000X
In Home Supportive Care Agency
3747P1801X
Personal Care Attendant

Other

Enumeration date
04/12/2025
Last updated
04/19/2025
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