Individual
MS. CIERRA BLAKE CREASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MSW, PEL-SW
Contact information
Practice address
110 S MAIN ST, ELLIS GROVE, IL 62241-1460
(618) 615-6269
Mailing address
110 S MAIN ST, ELLIS GROVE, IL 62241-1460
(618) 615-6269
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
IL
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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