Individual
CAROLINE CRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, CMHS
Contact information
Practice address
1311 E DIVISION ST, MOUNT VERNON, WA 98274-4134
(360) 300-5755
(360) 276-6450
Mailing address
PO BOX 257 PMB 9911, OLYMPIA, WA 98507
(360) 300-5755
(360) 276-6450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW61446566
WA
Other
Enumeration date
07/06/2020
Last updated
02/07/2024
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