Individual
TANYA REBEKAH CROKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISCW
Contact information
Practice address
1740 LOWER PLN, BRADFORD, VT 05033-8934
(802) 728-4466
(802) 728-4197
Mailing address
PO BOX 72, TUNBRIDGE, VT 05077-0072
(802) 565-0149
(802) 728-4197
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
089.0135673
VT
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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