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Organization

LAURA CRIMMINS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURA ANN CRIMMINS MS, LMFT (OWNER)
(928) 533-2388
Entity
Organization

Contact information

Practice address
711 WHIPPLE ST, PRESCOTT, AZ 86301-1717
(928) 533-2388
Mailing address
1571 DONAMIRE CIR, PRESCOTT, AZ 86301-5682
(928) 533-2388

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT10275
AZ
251S00000X
Community/Behavioral Health Agency
MFT-10275
AZ

Other

Enumeration date
11/30/2012
Last updated
11/30/2012
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