Individual
GARRY CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 HAVEN AVE, CRANSTON, RI 02920-6743
(401) 663-1497
Mailing address
5 HAVEN AVE, CRANSTON, RI 02920-6743
(401) 663-1497
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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