Individual
MISS CAROLYN DENISE CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1636 MARTHON DR, LAS VEGAS, NV 89108
(702) 633-5305
Mailing address
1636 MARATHON DR, LAS VEGAS, NV 89108-2726
(702) 633-5305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461291354
—
NV
Enumeration date
05/23/2013
Last updated
05/23/2013
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