Provider Information for 1477950418
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KATHERINE CRAWFORD LPC
Sex: Female
NPI: 1477950418
Last Updated: 2022-10-05
Certification Date: 2022-10-05
Certification Date: 2022-10-05
Details
| Name | Value | ||||||||||||
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| NPI | 1477950418 | ||||||||||||
| Enumeration Date | 2014-11-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 206 GARDEN CV RIDGELAND, MS 39157-3556 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 6A PROFESSIONAL PKWY RIDGELAND, MS 39157-4113 United States Phone: 601-647-9400 | Fax: | ||||||||||||
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