Individual
MARRISSA CROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 3RD ST S, NAMPA, ID 83651-5418
(702) 488-2339
Mailing address
2211 3RD ST S, NAMPA, ID 83651-5418
(702) 488-2339
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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