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Individual

EDYTHE NICOLE CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1302 S SHIELDS ST UNIT A2-1, FORT COLLINS, CO 80521-4803
(970) 576-1097
Mailing address
1118 SANDRA DR, JOHNSTOWN, CO 80534-8487
(970) 576-1097

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0004829
CO
103TS0200X
School Psychologist

Other

Enumeration date
01/04/2019
Last updated
10/23/2024
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