Individual
MS. WANDA KAY CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCA
Contact information
Practice address
1727 BREVARD RD, HENDERSONVILLE, NC 28791-3259
(828) 696-8272
(828) 696-8790
Mailing address
411 STAGELINE RD # 290, HUDSON, WI 54016-7848
(715) 531-6710
(651) 888-7820
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
14535
NC
231H00000X
Audiologist
307156
WI
231H00000X
Audiologist
7961
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144355488
—
MN
05
—
41148500
—
WI
Enumeration date
02/23/2007
Last updated
09/09/2021
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