Individual
MR. ROY CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
393 LAWRENCE 1189, ASH GROVE, MO 65604
(417) 343-8556
(417) 832-0059
Mailing address
393 LAWRENCE 1189, ASH GROVE, MO 65604
(417) 343-8556
(417) 832-0059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2003032197
MO
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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