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Individual

DR. SANDRA JOHNSTON KRUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
336 GUNDERSEN DR STE B, OUTREACH COMMUNITY COUNSELING CENTER, CAROL STREAM, IL 60188-2403
(630) 871-2100
(630) 588-0824
Mailing address
336 GUNDERSEN DR STE B, OUTREACH COMMUNITY COUNSELING CENTER, CAROL STREAM, IL 60188-2403
(630) 871-2100
(630) 588-0824

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL

Other

Enumeration date
10/11/2007
Last updated
10/11/2007
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