Individual
MCKENNA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 SPRUILL AVE, CHARLESTON, SC 29405-4764
(843) 352-7049
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 361-4000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-231095
SC
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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