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1831615517
LA-SHAUNNA CROCKETT
PHILADELPHIA, PA
NPI
1831615517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
LA-SHAUNNA CROCKETT
1716 E MAYLAND ST
PHILADELPHIA, PA 19138-1114
Phone number: 215-800-4612
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Mailing Address
LA-SHAUNNA CROCKETT
1716 E MAYLAND ST
PHILADELPHIA, PA 19138-1114
Phone number:
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