Individual
KATHRYN LEIGH KRUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 WASHINGTON ST STE 200, WAUKEGAN, IL 60085-5564
(847) 441-5600
Mailing address
415 WASHINGTON ST STE 200, WAUKEGAN, IL 60085-5564
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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