Individual
SUSAN FOLSE CROCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
204 N TERREBONNE DR, GRAY, LA 70359-6402
(985) 790-9380
Mailing address
204 N TERREBONNE DR, GRAY, LA 70359-6402
(985) 790-9380
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN084812
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/09/2020
Last updated
03/18/2022
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