Individual
LETECIA A CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
2458 CALAMARI CT, NORTH CHARLESTON, SC 29406-9337
(843) 343-0331
Mailing address
2458 CALAMARI COURT, NORTH CHARLESTON, SC 29406
(843) 343-0331
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
T118922
CA
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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