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Individual

LOREN CRISP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S., M.A., CF-SLP

Contact information

Practice address
916 KINGS MILL RD, APT. 823, GREENWOOD, IN 46142-1732
(513) 508-0087
Mailing address
916 KINGS MILL RD, APT. 823, GREENWOOD, IN 46142-1732

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002962A
IN

Other

Enumeration date
07/29/2016
Last updated
07/29/2016
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