Individual
MS. LINDA H CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3734 LA HIGHWAY 1 S, PORT ALLEN, LA 70767-5815
(225) 288-3739
Mailing address
3734 LA HIGHWAY 1 S, PORT ALLEN, LA 70767-5815
(225) 288-3739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8689
LA
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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