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1043511090
KIYA M CRAWFORD
CHAMPAIGN, IL
NPI
1043511090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2010-11-08
Last Update Date
2010-11-08
Business Address
-- KIYA M CRAWFORD
614 W HEALEY ST
CHAMPAIGN, IL 61820-5025
Phone number: 217-766-4291
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Mailing Address
-- KIYA M CRAWFORD
1207 CARVER DR
CHAMPAIGN, IL 61820-2412
Phone number: 217-766-4291
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