Individual
MRS. COURTNEY KROEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
205 S 24TH ST, QUINCY, IL 62301-4446
(217) 592-0440
Mailing address
205 S 24TH ST, QUINCY, IL 62301-4446
(217) 592-0440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.015244
IL
1041C0700X
Clinical Social Worker
Primary
149.018496
IL
Other
Enumeration date
08/14/2014
Last updated
08/05/2016
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