Individual
MR. JOHN RICHARD CROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
307 MAIN ST W, MARSHALLVILLE, GA 31057-9731
(478) 967-1130
Mailing address
307 MAIN ST W, MARSHALLVILLE, GA 31057-9731
(478) 967-1130
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LPN052633
GA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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