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NPI Profile for TARA CROCKETT in ELK GROVE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
1041S0200X |
| NPI # | 1093692972 |
|
| Status | Active | |
| Credentials | ACSW, PPSC | |
| Entity | Individual | |
| Enumeration date | 08/20/2025 | |
| Last updated | 08/20/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TARA CROCKETT
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TARA CROCKETT, ACSW, PPSC