Individual
JOHN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3640 CLIPPER RD, BALTIMORE, MD 21211-1404
(410) 952-6166
Mailing address
3640 CLIPPER RD, BALTIMORE, MD 21211-1404
(410) 952-6166
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BH001806
PA
104100000X
Social Worker
Primary
26134
MD
104100000X
Social Worker
SW131370
PA
Other
Enumeration date
06/30/2014
Last updated
02/03/2023
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