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DAVID W CROOKE LPC

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992241954

Individual Registrant:
 DAVID W CROOKE LPC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
243 W MAIN ST  SWAINSBORO, GA 30401-3163 US
Tel: 478-237-2484  Fax: 478-237-7541

Contact information for business:
PO BOX 1094  SWAINSBORO, GA 30401-1094 US
Tel: 478-237-2484  Fax: 478-237-7541

Registration Information:
NPI: 1992241954
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
GALPC002239

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
153738676AGA05




HEALTH CARE JOBS GA - Page 1



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