Crockett, Mary M

Crockett, Mary M is an individual health care provider with primary practice located at 42 South Park Street , Bradford MA 01835. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Crockett, Mary M can be contacted via phone (978) 521-8919.

Contact Information

Primary practice address
42 South Park Street Bradford MA 01835
Phone: (978) 521-8919
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1674 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5176 Massachusetts

Profile Details

NPI number 1245325653
LBN Legal business name Crockett, Mary M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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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