KAVONNE CROCKETT

LINCOLN, NE
NPI1710638895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2022-01-11
Last Update Date2022-01-11
Business Address
KAVONNE CROCKETT
3233 FLETCHER AVE APT 395
LINCOLN, NE 68504-4668
Phone number: 402-217-3844
Mailing Address
KAVONNE CROCKETT
5736 NW 4TH ST
LINCOLN, NE 68521-3860
Phone number: 402-805-2552
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KAVONNE CROCKETT