Individual
MRS. KIMBERLY TYRA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
9975 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3316
(301) 738-9691
Mailing address
1402 BARNACLE GEESE CT, UPPER MARLBORO, MD 20774-7102
(301) 738-9691
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
G07056
MD
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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