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Individual

ALEXIS ARIANA CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7330 LYNCH RD, MIDLAND, GA 31820-4010
(912) 385-4648
Mailing address
6708 BRADFORD DR, COLUMBUS, GA 31909-3313
(706) 405-0178

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1142399
GA

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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