Individual
JOHNNA CELESTE CRUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS-AD
Contact information
Practice address
467 W DOYLE ST, TOCCOA, GA 30577-1791
(762) 212-5729
Mailing address
467 W DOYLE ST, TOCCOA, GA 30577-1791
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
GA
Other
Enumeration date
03/30/2021
Last updated
04/13/2021
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