Individual
CARLA CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
601 FOOTE ST, CORINTH, MS 38834-4834
(662) 284-4424
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5968
MS
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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