Individual
GERRETTA KAY CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1805 E WALNUT ST, COLUMBIA, MO 65201-6425
(573) 777-7500
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012014234
MO
Other
Enumeration date
02/23/2024
Last updated
07/15/2025
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