| Wanda A. Crockett Pllc | |
|
1480 Oak Bridge Ct Powhatan VA 23139-8054 | |
| (804) 423-1389 | |
| Not Available |
| Full Name | Wanda A. Crockett Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1480 Oak Bridge Ct, Powhatan, Virginia |
| Authorized Official Name and Position | Wanda A. Crockett (OWNER) |
| Authorized Official Contact | 8047484774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda A. Crockett Pllc 9500 Gadwell Ter Chesterfield VA 23838-5215 Ph: (804) 748-4774 | Wanda A. Crockett Pllc 1480 Oak Bridge Ct Powhatan VA 23139-8054 Ph: (804) 423-1389 |
| NPI Number | 1477675064 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 11/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477675064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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