CARLA JEANNE CROCKFORD

VANCOUVER, WA
NPI1467478867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OR  200450092NP PMHNP-PP)
Enumeration Date2006-07-15
Last Update Date2012-01-06
Business Address
CARLA JEANNE CROCKFORD ARNP/PMHNP
1014 MAIN STREET
VANCOUVER, WA 98661
Phone number: 360-695-1014
Mailing Address
CARLA JEANNE CROCKFORD ARNP/PMHNP
1014 MAIN STREET
VANCOUVER, WA 98661
Phone number: 360-695-1014
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