Alisa D. Crockett LCSWC

NPI 1104957042 - Social Worker - 1041C0700X

NPI Details
NPI 1104957042
Gender Female
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
422 W. MARKET STREET
MARKET SQUARE
SNOW HILL MD, 21863, US
Phone (410) 632-4510
Fax (410) 632-4933
Business Location
8767 LYNCH DR
DELMAR MD, 21875-2471, US
Phone (410) 896-4185
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Maryland
License Number 09234
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According to our database, Alisa D. Crockett LCSWC NPI is 1104957042, taxonomy code is 1041C0700X and license number is 09234, license state is located at Maryland. Alisa D. Crockett LCSWC physically located at 422 W. Market Street, Snow Hill MD, 21863. NPI Number Alisa D. Crockett LCSWC has the Individual type.

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1104957042 NPI number is provided on an as is basis without warranty of any kind. 1104957042 is maintained by the National Plan & Provider Enumeration System. The contents of Alisa D. Crockett LCSWC are for informational purposes only.