Individual
MRS. MICHELE L CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
(920) 720-3719
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-3700
(920) 720-3806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15320
WI
104100000X
Social Worker
7620
WI
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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