Individual
COLLEEN CROCKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
8441 WAYZATA BLVD STE 290, GOLDEN VALLEY, MN 55426-1346
(651) 714-3848
Mailing address
5209 2ND AVE S, MINNEAPOLIS, MN 55419-1411
(612) 251-6741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20496
MN
Other
Enumeration date
10/19/2017
Last updated
05/06/2026
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