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Individual

GREGORY CHARLES CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
299 EDWARDS ST, YOUNGSTOWN, OH 44502-1504
(330) 743-1168
(330) 743-1616
Mailing address
299 EDWARDS ST, YOUNGSTOWN, OH 44502-1504
(330) 743-1168
(330) 743-1616

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 10005
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0078348
OH
05
9736272
OH
Enumeration date
02/07/2017
Last updated
02/07/2017
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