Individual
AJA CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 BLUE HILL AVE, DORCHESTER, MA 02121-4302
(617) 541-6859
Mailing address
321 BLUE HILL AVE, DORCHESTER, MA 02121-4302
(617) 541-6859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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