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1134793755
TIA LAVELL CROCKETT
BROOKLYN, NY
NPI
1134793755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY P107335)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
TIA LAVELL CROCKETT MSW
858 E 29TH ST
BROOKLYN, NY 11210-2927
Phone number: 718-859-4500
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Mailing Address
TIA LAVELL CROCKETT MSW
858 E 29TH ST
BROOKLYN, NY 11210-2927
Phone number: 718-859-4500
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