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1104957042
ALISA D. CROCKETT
SNOW HILL, MD
NPI
1104957042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 09234)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- ALISA D. CROCKETT LCSWC
422 W. MARKET STREET MARKET SQUARE
SNOW HILL, MD 21863
Phone number: 410-632-4510
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Mailing Address
-- ALISA D. CROCKETT LCSWC
8767 LYNCH DR
DELMAR, MD 21875-2471
Phone number: 410-896-4185
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