Individual
CHARLES CONRAD CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 WARD AVE, 219B, HONOLULU, HI 96814-4008
(808) 585-1424
Mailing address
104 20TH ST, HICKAM AFB, HONOLULU, HI 96818-4602
(860) 485-3634
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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