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Individual

ANTONIEO DEANGELO CRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631-2600
(740) 446-9129
Mailing address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631-2600

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.178448
OH
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
07/14/2021
Last updated
10/07/2021
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