Individual
MRS. DEBORA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 MCDONALD AVE, KINGMAN, AZ 86401-4235
(928) 718-6308
(928) 753-2208
Mailing address
3033 MCDONALD AVE, KINGMAN, AZ 86401-4235
(928) 718-6308
(928) 753-2208
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
566937
AHCCCS ID #
AZ
Enumeration date
04/10/2007
Last updated
07/26/2007
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