Individual
ALISA D. CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
422 W. MARKET STREET, MARKET SQUARE, SNOW HILL, MD 21863
(410) 632-4510
(410) 632-4933
Mailing address
8767 LYNCH DR, DELMAR, MD 21875-2471
(410) 896-4185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09234
MD
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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