Crockett, Alisa D.
Crockett, Alisa D. is an individual health care provider with primary practice located at 422 W. Market Street Market Square, Snow Hill MD 21863. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crockett, Alisa D. can be contacted via phone (410) 632-4510.Contact Information
Primary practice address
422 W. Market Street Market Square
Snow Hill MD 21863
Phone: (410) 632-4510
Fax: (410) 632-4933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 09234 | Maryland |
Profile Details
| NPI number | 1104957042 |
|---|---|
| LBN Legal business name | Crockett, Alisa D. |
| Credentials | LCSWC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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