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Michael Ellis Crawford

Counselor in Wagoner, OK. Individual provider (NPI-1).

NPI number1740539097
StatusActive
Last updated in NPPESSep 2, 2012

Details

NPI
1740539097
Entity type
Individual (NPI-1)
Name
Michael Ellis Crawford
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 2, 2012
Last updated
Sep 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor–OKYes

Practice location

33800 E 750 Rd
16b
Wagoner, OK 74467-9348

Phone 918-201-4154

Mailing address

33800 E 750 Rd
16b
Wagoner, OK 74467-9348

Phone 918-201-4154

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