Individual
MRS. KRISTIE S CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1817 NORTHPOINTE LANE, RUSTON, LA 71270-3879
(318) 255-9601
(318) 255-7591
Mailing address
P.O. BOX 1306, RUSTON, LA 71273-1306
(318) 255-9601
(318) 255-7591
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4741
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007994
—
LA
Enumeration date
06/05/2007
Last updated
12/28/2011
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