Individual
MS. INDIA R CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5000 WOODLAND AVE, 2ND FL., PHILADELPHIA, PA 19143-5137
(215) 726-9807
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CW019178
PA
Other
Enumeration date
12/03/2012
Last updated
08/18/2016
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