Individual
LYDIA CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 CENTRAL AVE, KEARNEY, NE 68847-8134
(308) 632-0535
(308) 632-0536
Mailing address
3810 CENTRAL AVE, KEARNEY, NE 68847-8134
(308) 237-5951
(308) 234-4018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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