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1902427495
LANCE CRAWFORD
PORTLAND, OR
NPI
1902427495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701009103)
Enumeration Date
2020-05-06
Last Update Date
2023-10-20
Business Address
LANCE CRAWFORD LPC
123 NW 12TH AVE APT 434
PORTLAND, OR 97209-4146
Phone number: 540-688-8066
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Mailing Address
LANCE CRAWFORD LPC
17 CHURCH AVE SW APT 303
ROANOKE, VA 24011-2011
Phone number: 540-688-8066
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