Individual
MRS. PRISCILLA CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(503) 726-3698
Mailing address
306 NE 104TH AVE, APT# N-107, VANCOUVER, WA 98664-4541
(360) 980-5365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/05/2011
Last updated
11/05/2011
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