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1396927927
KASELAH CROCKETT
OAKLAND, CA
NPI
1396927927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-12-05
Last Update Date
2011-06-02
Business Address
Ms. KASELAH CROCKETT M.A.
111 MYRTLE ST SUITE 102
OAKLAND, CA 94607-2525
Phone number: 510-839-3800
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Mailing Address
Ms. KASELAH CROCKETT M.A.
3450 SCHOOL ST
OAKLAND, CA 94602-3639
Phone number: 510-434-9232
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