Individual
JAKE CROSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
900 PROVIDENT DR, WARSAW, IN 46580-3252
(574) 371-2500
Mailing address
114 W CAMBRIDGE DR, COLUMBIA CITY, IN 46725-7785
(260) 241-8305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006957A
IN
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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