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1114431863
CHANTEL CROCKETT
BATON ROUGE, LA
NPI
1114431863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 15883)
Enumeration Date
2017-11-16
Last Update Date
2024-11-21
Business Address
CHANTEL CROCKETT LCSW
2351 ENERGY DR STE 1100
BATON ROUGE, LA 70808-2617
Phone number: 225-465-3080
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Mailing Address
CHANTEL CROCKETT LCSW
2376 CREEK HOLLOW AVE
ZACHARY, LA 70791-2895
Phone number: 225-218-7472
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