Individual
MRS. CRISTA MARIE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
804 E 3RD ST, O FALLON, IL 62269-2227
(618) 624-0949
Mailing address
804 E 3RD ST, O FALLON, IL 62269-2227
(618) 624-0949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005666
IL
Other
Enumeration date
03/21/2008
Last updated
09/11/2017
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