Individual
DAVID CROUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
60 S STATE ROUTE 157 STE 24, EDWARDSVILLE, IL 62025-3899
(618) 600-6505
Mailing address
60 S STATE ROUTE 157 STE 24, EDWARDSVILLE, IL 62025-3899
(618) 600-6505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017893
IL
Other
Enumeration date
05/02/2016
Last updated
09/27/2019
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