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Individual

MRS. SALLY MARIE CRUMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.ED

Contact information

Practice address
14360 COUNTY ROAD 408, AMAZONIA, MO 64421-8119
(816) 475-2451
Mailing address
14360 COUNTY ROAD 408, AMAZONIA, MO 64421-8119
(816) 475-2451

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
08/16/2009
Last updated
08/16/2009
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