Individual
DEQUITA CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GCDF, NCDF
Contact information
Practice address
300 S RODNEY PARHAM RD STE 1-326, LITTLE ROCK, AR 72205-4747
(870) 623-5415
Mailing address
300 S RODNEY PARHAM RD STE 1-326, LITTLE ROCK, AR 72205-4747
(870) 623-5415
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AR
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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