Individual
AMY M CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
300 CADMAN PLZ W, BROOKLYN, NY 11201-3229
(716) 589-7123
Mailing address
5513 FOREST HILL RD, LOCKPORT, NY 14094-6223
(716) 589-7123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074320
NY
Other
Enumeration date
06/04/2024
Last updated
08/22/2024
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