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Organization

DAVID H. CROWLEY AND ASSOCIATES LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID HARMAN CROWLEY LCSW (OWNER)
(217) 637-7816
Entity
Organization

Contact information

Practice address
100 N CHESTNUT ST STE 231, CHAMPAIGN, IL 61820-4856
(217) 637-7816
Mailing address
100 N CHESTNUT ST STE 231, CHAMPAIGN, IL 61820-4856
(217) 637-7816

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149003667
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
331485953001
IL
Enumeration date
01/08/2018
Last updated
01/08/2018
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