CARL CROCKHAM

NORTH LAS VEGAS, NV
NPI1174938518
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2014-06-24
Last Update Date2014-06-24
Business Address
-- CARL CROCKHAM
4325 W ROME BLVD APT 1184
NORTH LAS VEGAS, NV 89084-5409
Phone number: 702-561-0866
Mailing Address
-- CARL CROCKHAM
4325 W ROME BLVD APT 1184
NORTH LAS VEGAS, NV 89084-5409
Phone number: 702-561-0866
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