Individual
MS. CONNIE PHILLIPS CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
565 MILWAUKEE AVE, SUITE 3C, BURLINGTON, WI 53105-1254
(262) 757-0016
(262) 757-0018
Mailing address
565 MILWAUKEE AVE, SUITE 3C, BURLINGTON, WI 53105-1254
(262) 757-0016
(262) 757-0018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2629-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39189100
—
WI
Enumeration date
08/07/2006
Last updated
12/20/2010
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