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Individual

MISTY DAWN CROUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 E 15TH ST, 4TH FLOOR, AUSTIN, TX 78701-1930
(512) 324-2273
Mailing address
601 E 15TH ST, 4TH FLOOR, AUSTIN, TX 78701-1930

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83372
TX

Other

Enumeration date
02/22/2017
Last updated
02/22/2017
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