Most Relevant Information
Provider Data
| NPI Number: | 1003563024 |
| Provider Name: | ALYSSA CROSLEY CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 178464 |
Most Important Dates
| Enumeration Date: | 03/09/2022 |
| Last Updated: | 03/09/2022 |
Provider Practice Location
143 GOUGLER AVE
KENT
OH
442402401
Practice Location Phone/Fax
| Phone: | 3302962384 |
| Fax: |
Provider Mailing Location
143 GOUGLER AVE
KENT
OH
442402401
Provider Mailing Phone/Fax
| Phone: | 3302962384 |
| Fax: |