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Individual

MICHELE EMMAMAE KRUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 937-2851

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
131286-121
WI
1041C0700X
Clinical Social Worker
Primary
11396
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131286-121
CERTIFIED ADVANCED PRACTICE SOCIAL WORKER
WI
Enumeration date
10/15/2020
Last updated
10/06/2023
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