Individual
CLIFTON CRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 HARDEE AVE SW, ATLANTA, GA 30310-5110
(404) 230-5683
Mailing address
1701 HARDEE AVE SW, ATLANTA, GA 30310-5110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008962
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12091210
—
GA
Enumeration date
06/01/2022
Last updated
06/01/2022
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