Individual
KELLY CROWLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 MILL LN, MALVERN, PA 19355-1640
(610) 772-0557
Mailing address
24 MILL LN, MALVERN, PA 19355-1640
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000544
PA
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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