Individual
ELIZABETH A CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 S. MAIN STREET, AFTON, OK 74331-1822
(918) 257-4244
(918) 257-4247
Mailing address
138 S. MAIN STREET, AFTON, OK 74331-1822
(918) 257-4244
(918) 257-4247
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
08/18/2021
Last updated
05/27/2022
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