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Gayle Crocker, MHC

NPI 1174874473 · on the registry since 2012 · sole proprietor

Practice

Address
8620 Sw 12th St
Pembroke Pines, FL 33025
Phone
(954) 588-3612
Fax
(423) 822-5729

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
101YS0200X
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida