Individual ProviderKwilanzo CrawfordMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4990 Williams Ave, La Mesa, CA 91942-7409(619) 668-4203PECOS EnrollmentBased on the most recent information from CMS, provider Kwilanzo Crawford does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1811421936Provider TypeIndividualFull NameCrawford, KwilanzoGenderFemaleSole ProprietorYesEnumeration Date4/14/2017Last Updated4/14/2017Contact InformationPractice LocationPractice Address4990 Williams Ave, La Mesa, CA 91942-7409Phone(619) 668-4203FaxUnlisted FaxMailing LocationMailing Address4990 Williams Ave, La Mesa, CA 91942-7409PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer