Individual
DAVID W CROOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
243 W MAIN ST, SWAINSBORO, GA 30401-3163
(478) 237-2484
(478) 237-7541
Mailing address
PO BOX 1094, SWAINSBORO, GA 30401-1094
(478) 237-2484
(478) 237-7541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC002239
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153738676A
—
GA
Enumeration date
01/16/2017
Last updated
01/16/2017
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