IDA DENISE CROCKETT

GREENWOOD, MS
NPI1639964992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  0397)
Enumeration Date2025-04-09
Last Update Date2025-04-09
Business Address
IDA DENISE CROCKETT
2504 BROWNING ROAD 520
GREENWOOD, MS 38930-6022
Phone number: 662-453-6211
Mailing Address
IDA DENISE CROCKETT
2504 BROWNING ROAD 520
GREENWOOD, MS 38930-6022
Phone number: 662-453-6211
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