Individual
LAUREL CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N IH 35 STE 112, AUSTIN, TX 78702-3233
(512) 790-3771
Mailing address
4004 KANDY DR, AUSTIN, TX 78749-2548
(512) 826-7407
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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