LA-SHAUNNA CROCKETT

PHILADELPHIA, PA
NPI1831615517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-08-15
Last Update Date2017-08-15
Business Address
LA-SHAUNNA CROCKETT
1716 E MAYLAND ST
PHILADELPHIA, PA 19138-1114
Phone number: 215-800-4612
Mailing Address
LA-SHAUNNA CROCKETT
1716 E MAYLAND ST
PHILADELPHIA, PA 19138-1114
Phone number: