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Individual
LAKEN R CROCKETT
Active
Individual
LAKEN R CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15348
LA
1041C0700X
Clinical Social Worker
123364
IA
1041C0700X
Clinical Social Worker
Primary
15348
LA
1041C0700X
Clinical Social Worker
28601-C
AR
1041C0700X
Clinical Social Worker
LC200002647
DC
1041C0700X
Clinical Social Worker
LC22560
ME
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
05/18/2026
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