Individual
CARLIE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 WOODLAND DR STE 112, ELIZABETHTOWN, KY 42701-3723
(502) 358-5106
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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