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Individual

MS. GAYLAIN MONYA CROSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPA

Contact information

Practice address
917 1ST ST, SHELBY, NC 28150-3958
(704) 480-6641
(704) 480-1364
Mailing address
330 MARYS GROVE CHURCH RD, KINGS MOUNTAIN, NC 28086-9345
(704) 730-9211

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1846
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6107347
NC
Enumeration date
12/14/2006
Last updated
07/08/2007
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