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Individual

CONNIE R KRUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
16 E ROUTE 66 STE 203, FLAGSTAFF, AZ 86001-5777
(928) 846-3342
Mailing address
2845 N PRESCOTT RD, FLAGSTAFF, AZ 86001-1077
(928) 846-3342

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-16878
AZ

Other

Enumeration date
08/22/2018
Last updated
07/03/2020
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