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Individual

KELVIN LARON CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/28/2021
Last updated
04/28/2021
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