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NPI Code Detail

MEDICARE: PATRINA CRAWFORD

MEDICARE:   PATRINA  CRAWFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1063245215
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRINA CRAWFORD
Provider Business Mailing Address
First Line : 9666 OLIVE BLVD STE 330
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63132-3035
Country : US
Telephone Number : 636-317-1197
Fax Number : 833-667-0319
Provider Business Practice Location Address
First Line : 9666 OLIVE BLVD STE 330
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63132-3035
Country : US
Telephone Number : 636-317-1197
Fax Number : 833-667-0319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2024
Last Update Date : 03/26/2026

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Directions to “ PATRINA CRAWFORD ” Practice Location

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