Individual
REBECCA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6208 US HIGHWAY 61 67, IMPERIAL, MO 63052-2311
(636) 464-4400
Mailing address
1993 THE WOODS CIR, BARNHART, MO 63012-1295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
289419
MO
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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