Individual
JACLYN ROSE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
130 WAYNE FRYE DR, MANCHESTER, OH 45144-9314
(937) 549-4777
Mailing address
1331 MEFFORD HEIGHTS CIR, MAYSVILLE, KY 41056-9113
(606) 782-3173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.2018844-SP
OH
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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