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Individual

SARA ELIZABETH CROCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
6110 SHALLOWFORD RD STE B, CHATTANOOGA, TN 37421-1894
(423) 499-1031
(423) 296-6384
Mailing address
8153 KAITLIN LN, OOLTEWAH, TN 37363-5910
(423) 716-7127

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YS0200X
School Counselor
000702717
TN

Other

Enumeration date
07/12/2017
Last updated
07/12/2017
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