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1174893747
LANADIA CROCKETT
LITTLE ROCK, AR
NPI
1174893747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
LANADIA CROCKETT MHPP
1014 AUTUMN RD STE 4
LITTLE ROCK, AR 72211-3704
Phone number: 501-221-1941
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Mailing Address
LANADIA CROCKETT MHPP
1014 AUTUMN RD STE 4
LITTLE ROCK, AR 72211-3704
Phone number: 501-221-1941
Copy
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