Titus Leraun Crockett
NPI #1386118800 in Marked Tree, Arkansas
Provider Information
- NPI Number
- 1386118800
- Entity Type
- Individual
- Name
- Titus Leraun Crockett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 17, 2019
- Last Updated
- Jan 17, 2019
Practice Location
- Address
- 101 RAYMOND ST
- City
- Marked Tree
- State
- Arkansas
- ZIP Code
- 72365-2001
- Phone
- (870) 882-2359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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