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Individual

MRS. CAROL ANN MARIE DOUGLAS-CRENSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CHHA/CNA

Contact information

Practice address
955 S SPRINGFIELD AVE # 2406, SPRINGFIELD, NJ 07081-3543
(973) 336-7969
Mailing address
955 S SPRINGFIELD AVE # 2406, SPRINGFIELD, NJ 07081-3543
(973) 336-7969

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
374U00000X
Home Health Aide
Primary
26NH11551000
NJ
374U00000X
Home Health Aide
376K00000X
Nurse's Aide

Other

Enumeration date
12/16/2009
Last updated
12/16/2009
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