Individual
CRYSTAL LEE DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
59 GREELEY ST, PAWTUCKET, RI 02861-3125
(857) 359-5959
Mailing address
59 GREELEY ST, PAWTUCKET, RI 02861-3125
(857) 359-5959
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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