JUANITA CROCKETT

NEW YORK, NY
NPI1861859951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  22779)
Enumeration Date2016-01-21
Last Update Date2016-01-21
Business Address
-- JUANITA CROCKETT
2369 2ND AVE
NEW YORK, NY 10035-3108
Phone number: 212-876-2300
Mailing Address
-- JUANITA CROCKETT
2369 2ND AVE
NEW YORK, NY 10035-3108
Phone number: 212-876-2300
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