Individual
MRS. CARRIE L CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC-S
Contact information
Practice address
4392 STATE ROUTE 164, LEETONIA, OH 44431-9614
(330) 427-6278
Mailing address
PO BOX 81, SALEM, OH 44460-0081
(234) 567-1067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0001277S
OH
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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