Individual
CRYSTAL WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3257 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9675
(270) 403-3991
Mailing address
3257 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9675
(270) 403-3991
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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