MS. Dewanda Crochrell

NPI #1790253466 in Granite City, Illinois

Provider Information

NPI Number: 1790253466
Entity Type: Individual
Name: MS. Dewanda Crochrell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Nov 11, 2018
Last Updated: Nov 11, 2018

Practice Location

Address: 2116 EDISON AVE
City: Granite City
State: Illinois
ZIP Code: 62040-4717
Phone: (618) 334-1181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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