Individual
KEVIN CREAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 W PLEASANT ST, SPRINGFIELD, OH 45506-2278
(937) 767-7217
Mailing address
920 SANTA MONICA AVE, SPRINGFIELD, OH 45503-1317
(937) 767-7217
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP416
OH
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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