Individual
TARA CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW, PPSC
Contact information
Practice address
9510 ELK GROVE FLORIN RD, ELK GROVE, CA 95624-1801
(916) 892-2533
Mailing address
PO BOX 5966, SACRAMENTO, CA 95817-0966
(530) 575-6679
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
119482
CA
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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