NIDYA CROCKETT

RIVERSIDE, CA
NPI1821588187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  102687)
Enumeration Date2018-05-12
Last Update Date2022-01-28
Business Address
NIDYA CROCKETT LCSW
8798 PHILBIN AVE
RIVERSIDE, CA 92503-1732
Phone number: 310-908-9797
Mailing Address
NIDYA CROCKETT LCSW
PO BOX 70847
RIVERSIDE, CA 92513-0847
Phone number: 310-908-9797
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