Andrea S. Cruse LCSW

NPI 1790061638 - Social Worker - 1041C0700X

NPI Details
NPI 1790061638
Gender Female
Enumeration Date 10/24/2011
Last Updated 08/02/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
1001 N MARKET ST
SUITE 101
MOUNT CARMEL IL, 62863-1945, US
Phone (618) 263-4970
Fax
Business Location
106 PERRY ST
MOUNT CARMEL IL, 62863-2579, US
Phone (618) 263-2134
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.014829
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According to our database, Mrs. Andrea S. Cruse LCSW NPI is 1790061638, taxonomy code is 1041C0700X and license number is 149.014829, license state is located at Illinois. Andrea S. Cruse LCSW physically located at 1001 N Market St, Mount Carmel IL, 62863-1945. NPI Number Andrea S. Cruse LCSW has the Individual type.

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1790061638 NPI number is provided on an as is basis without warranty of any kind. 1790061638 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea S. Cruse LCSW are for informational purposes only.