Individual
MS. STEPHANIE A CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
2510 CREST AVE, CHEVERLY, MD 20785-2930
(202) 497-5890
Mailing address
2510 CREST AVE, CHEVERLY, MD 20785-2930
(202) 497-5890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP6349
MD
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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