Individual
DEBRA ANN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33800 E 750 RD, #16B, WAGONER, OK 74467-9348
(918) 201-4154
Mailing address
33800 E 750 RD, #16B, WAGONER, OK 74467-9348
(918) 201-4154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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