Individual
FELICIA ADELE CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CSW
Contact information
Practice address
114 PERKINS LN, JACKSBORO, TN 37757-2833
(877) 848-9810
Mailing address
120 CROCKETT RD, HARROGATE, TN 37752-5512
(423) 300-0594
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16116
TN
104100000X
Social Worker
260242
KY
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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