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Individual

ELIZABETH CRUBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
2103 COUNTY ROAD D E STE B, MAPLEWOOD, MN 55109-5358
(612) 232-9491
Mailing address
2103 COUNTY ROAD D E STE B, MAPLEWOOD, MN 55109-5358

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26519
MN

Other

Enumeration date
10/11/2021
Last updated
10/11/2021
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