Individual
BRENDA CHARECE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2601 APACHE COURT, SIOUX CITY, IA 51104-1594
(712) 239-1111
(712) 239-1199
Mailing address
2601 APACHE COURT, SIOUX CITY, IA 51104-1594
(712) 239-1111
(712) 239-1199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001059
IA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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