Individual
ARNEZ CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
33-11 BROADWAY STE 203, FAIR LAWN, NJ 07410-4638
(973) 769-3699
Mailing address
121 E 30TH ST, PATERSON, NJ 07514-1856
(973) 704-6455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00023900
NJ
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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