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Individual

MR. EARNEST CRUMBLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A. SOCIOLOGY

Contact information

Practice address
11501 LOCHWOOD DR, APT 804, YUKON, OK 73099-6604
(727) 709-2563
Mailing address
11501 LOCHWOOD DR, APT 804, YUKON, OK 73099-6604
(727) 709-2563

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/12/2011
Last updated
07/11/2016
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