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STEPHANIE MARIE CROCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(845) 283-4290
Mailing address
60 HELEN DR APT 60, MIDDLETOWN, NY 10940-6635
(845) 283-4290

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
632598
NY

Other

Enumeration date
05/29/2025
Last updated
05/29/2025
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