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Individual

ELEANOR JANE CRUMBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1741 S LANCASTER AVE, SPRINGFIELD, MO 65807-1903
(417) 619-8377
Mailing address
1741 S LANCASTER AVE, SPRINGFIELD, MO 65807-1903
(417) 619-8377

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022030954
MO

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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