Mystic D Crenshaw
Mystic D Crenshaw is a Counselor in Broken Arrow, Oklahoma. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
3100 S Elm Pl Ste BBroken Arrow, OK 74012-7950
Phone: (918) 286-2535
Fax: (918) 286-7693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1366740680 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 10, 2011 |
| Last updated in NPPES | March 10, 2011 |
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