Michael Ellis Crawford

NPI #1740539097 in Wagoner, Oklahoma

Provider Information

NPI Number: 1740539097
Entity Type: Individual
Name: Michael Ellis Crawford
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 2, 2012
Last Updated: Sep 2, 2012

Practice Location

Address: 33800 E 750 RD
Address 2: 16B
City: Wagoner
State: Oklahoma
ZIP Code: 74467-9348
Phone: (918) 201-4154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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