Individual
SPRING A CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
34005972A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530
—
IN
Enumeration date
05/25/2007
Last updated
03/12/2014
Update your record
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