Individual
CRYSTAL LEA MCAVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1548 DORSET DR, AVON, IN 46123-5321
(317) 480-0421
Mailing address
1548 DORSET DR, AVON, IN 46123-5321
(317) 480-0421
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
27070664A
IN
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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