Individual
KARI KAYE CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93670 VIKING LN, NORTH BEND, OR 97459-8623
(541) 756-8351
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4943
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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