Individual
ELIZABETH CRUZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
8315 S BROADWAY, SAINT LOUIS, MO 63111-3804
(314) 631-4299
(314) 631-4316
Mailing address
8315 S BROADWAY, SAINT LOUIS, MO 63111-3804
(314) 631-4299
(314) 631-4316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2014024202
MO
Other
Enumeration date
02/25/2014
Last updated
02/04/2015
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