Individual
ALLISON CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-5959
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01770
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4605233707
—
MO
Enumeration date
02/11/2007
Last updated
07/08/2007
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