Individual
AMANDA M CRUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4806 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-6442
(309) 712-7996
Mailing address
4806 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-6442
(309) 712-7996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013942
IL
Other
Enumeration date
02/26/2010
Last updated
02/10/2017
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