Individual
CRYSTAL LYNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 HARGRAVE CT, HEBRON, KY 41048-6900
(859) 360-3006
Mailing address
468 HIDDEN VALLEY DR, LAWRENCEBURG, IN 47025-9007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB844361
KY
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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