Individual
CRYSTAL CHILCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 W 79TH ST, OVERLAND PARK, KS 66204-3179
(806) 802-6969
Mailing address
937 E 21ST ST, LAWRENCE, KS 66046-3121
(817) 726-7944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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