Individual
MS. CARRIE CAROLINE CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149016386
IL
1041C0700X
Clinical Social Worker
Primary
2003032196
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497312108
—
MO
Enumeration date
01/23/2007
Last updated
01/27/2025
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