Individual
MARY CROWNOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S. NCSP
Contact information
Practice address
237 LOOKOUT PL STE 150, MAITLAND, FL 32751-8431
(407) 376-1105
Mailing address
3803 LAKE SARAH DR, ORLANDO, FL 32804-2806
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS775
FL
Other
Enumeration date
01/06/2009
Last updated
01/07/2009
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