Provider Information for 1750158846
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ALYSSA CRAWFORD LCPC
Sex: Female
NPI: 1750158846
Last Updated: 2023-12-07
Certification Date: 2023-12-07
Certification Date: 2023-12-07
Details
| Name | Value | ||||||||
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| NPI | 1750158846 | ||||||||
| Enumeration Date | 2023-12-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 606 MAIN ST ELMA, IA 50628-8214 United States Phone: 563-203-7687 | Fax: | ||||||||
| Primary Practice Address | 606 MAIN ST ELMA, IA 50628-8214 United States Phone: 563-203-7687 | Fax: | ||||||||
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