Individual
MRS. EILEEN MARIE CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10077 DOGWOOD ST NW, COON RAPIDS, MN 55448-5286
(651) 777-5222
Mailing address
8633 EDINBROOK XING APT 155, BROOKLYN PARK, MN 55443-4010
(651) 283-0964
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000010815
TN
Other
Enumeration date
08/31/2016
Last updated
10/12/2022
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