Carl Crockham
Carl Crockham is a Clinical Social Worker in North las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
4325 W Rome Blvd Apt 1184North las Vegas, NV 89084-5409
Phone: (702) 561-0866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1174938518 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 24, 2014 |
| Last updated in NPPES | June 24, 2014 |
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