Individual
MRS. KATHRYN SUE CRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1885 S 5TH AVE, YUMA, AZ 85364-5559
(928) 782-6172
Mailing address
1885 S 5TH AVE, YUMA, AZ 85364-5559
(928) 782-6172
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
10454
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968828
—
AZ
Enumeration date
12/19/2006
Last updated
07/09/2007
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