Individual
DINA L. CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NON BA, QMHS
Contact information
Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
(330) 452-8860
Mailing address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
(330) 452-8860
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290822
—
OH
Enumeration date
07/23/2010
Last updated
07/23/2010
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