Suanne Crockett

NPI #1679857445 in Vinita, Oklahoma

Provider Information

NPI Number
1679857445
Entity Type
Individual
Name
Suanne Crockett
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Sep 28, 2011
Last Updated
Sep 28, 2011

Practice Location

Address
120 E ILLINOIS AVE
City
Vinita
ZIP Code
74301-3202
Phone
(918) 342-2080

Specialties & Taxonomy Codes

Specialty
Counselor

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