Provider Information for 1396510533
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SANDRA KAYE CRISP LPC
Sex: Female
NPI: 1396510533
Last Updated: 2023-12-14
Certification Date: 2023-12-13
Certification Date: 2023-12-13
Details
Name | Value | ||||||||||||
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NPI | 1396510533 | ||||||||||||
Enumeration Date | 2023-11-17 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 6707 E BAYOU DR HITCHCOCK, TX 77563-3531 United States Phone: 409-256-6171 | Fax: | ||||||||||||
Primary Practice Address | 6707 E BAYOU DR HITCHCOCK, TX 77563-3531 United States Phone: 409-256-6171 | Fax: | ||||||||||||
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