Individual
LAUREN CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14135 85TH RD APT 3F, BRIARWOOD, NY 11435-2538
(646) 385-4746
Mailing address
14135 85TH RD APT 3F, BRIARWOOD, NY 11435-2538
(646) 385-4746
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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