Individual
UNDREA AZALIA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5940 S 57TH ST, LINCOLN, NE 68516-5230
(402) 314-7784
Mailing address
941 WASHINGTON ST APT 13, LINCOLN, NE 68502-2165
(863) 838-4816
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
H14205105
NE
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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