Individual
STEPHANIE LEAH CRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BIRTH COUNSELOR
Contact information
Practice address
1539 NICKLESVILLE RD NE, RESACA, GA 30735-6425
(910) 605-3341
Mailing address
1539 NICKLESVILLE RD NE, RESACA, GA 30735-6425
(910) 605-3341
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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