Individual
MRS. ANDREA S. CRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 N MARKET ST, SUITE 101, MOUNT CARMEL, IL 62863-1945
(618) 263-4970
Mailing address
106 PERRY ST, MOUNT CARMEL, IL 62863-2579
(618) 263-2134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014829
IL
Other
Enumeration date
10/24/2011
Last updated
08/02/2012
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