Organization
KATHLEEN A KRUSE LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN A KRUSE LCSW (OWNER)
(815) 233-2550
Entity
Organization
Contact information
Practice address
1011 W LORAS DRIVE, SUITE C, FREEPORT, IL 61032-6900
(815) 233-2550
Mailing address
1011 W LORAS DRIVE, SUITE C, FREEPORT, IL 61032-6900
(815) 233-2550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149007392
IL
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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