Individual
KEN R CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
733 7TH ST E, SAINT PAUL, MN 55106-5038
(651) 774-9979
(651) 774-9979
Mailing address
733 7TH ST E, SAINT PAUL, MN 55106-5038
(651) 774-9979
(651) 774-9979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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