| Doctor Name: | MRS. CLARA LOUISE CROOKSTON |
| NPI Number: | 1134363161 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCSW-12501 |
| Business Practice Address: | 641 S Main St Snowflake, AZ - 859375595 |
| Business Phone Number: | 9285364117 |
| Business Fax Number: | 9285367626 |
| Mailing Address: | Po Box 856, 641 S Main St SNOWFLAKE |
| State: | AZ |
| Postal Code: | 859370856 |
| Phone Number: | 9285364117 |
| Fax Number: | 9285367626 |
| NPI Enumeration Date: | 04/21/2009 |
| NPI Last Update Date: | 04/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-12501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |