Individual
CHARLOTTE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
863 S 239TH LN, BUCKEYE, AZ 85326-8162
(602) 455-4626
(602) 455-4624
Mailing address
863 S 239TH LN, BUCKEYE, AZ 85326-8162
(602) 455-4626
(602) 455-4624
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
7289192
AZ
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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