Kathleen A Kruse Lcsw Pc | |
1011 W Loras Drive Suite C Freeport IL 61032-6900 | |
(815) 233-2550 | |
Not Available |
Full Name | Kathleen A Kruse Lcsw Pc |
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Speciality | Social Worker |
Location | 1011 W Loras Drive, Freeport, Illinois |
Authorized Official Name and Position | Kathleen A Kruse (OWNER) |
Authorized Official Contact | 8152332550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kathleen A Kruse Lcsw Pc 1011 W Loras Drive Suite C Freeport IL 61032-6900 Ph: (815) 233-2550 | Kathleen A Kruse Lcsw Pc 1011 W Loras Drive Suite C Freeport IL 61032-6900 Ph: (815) 233-2550 |
NPI Number | 1669744678 |
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Provider Enumeration Date | 02/07/2012 |
Last Update Date | 02/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669744678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 149007392 (Illinois) | Primary |
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