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Peter David Crockett, LCSW

Social Worker, Clinical in Alexandria, VA. Individual provider (NPI-1).

NPI number1346358850
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1346358850
Entity type
Individual (NPI-1)
Name
Mr. Peter David Crockett
Credential
LCSW
Sex
Male
Sole proprietor
No
Enumeration date
Aug 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical0904000377VAYes

Practice location

205 S Whiting St
Ste 605
Alexandria, VA 22304-7121

Phone 703-751-2221 · Fax 703-212-7498

Mailing address

205 S Whiting St
Ste 605
Alexandria, VA 22304-7121

Phone 703-751-2221 · Fax 703-212-7498

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