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Organization
SKILL SPROUT, LLC
Active
Organization
SKILL SPROUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE CREE (CREDENTIALING COORDINATOR)
(800) 773-1682
Entity
Organization
Contact information
Practice address
8500 N KNOXVILLE AVE, STE AB, PEORIA, IL 61615-2079
(800) 773-1682
(309) 713-2898
Mailing address
97 EASTGATE DR, WASHINGTON, IL 61571-9271
(800) 773-1682
(309) 713-2898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016759
IL
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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