Tara Lynn Crouso, LSW
NPI #1114588795 in Coventry Township, Ohio
Provider Information
- NPI Number
- 1114588795
- Entity Type
- Individual
- Name
- Tara Lynn Crouso, LSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LSW
- Enumeration Date
- Jun 25, 2019
- Last Updated
- Aug 7, 2020
Practice Location
- Address
- 3445 S MAIN ST
- State
- Ohio
- ZIP Code
- 44319-3028
- Phone
- (303) 644-4095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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| Michael Wiandt, LSW | |
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Organizations
| Provider Name | |
|---|---|
| Newlifetherapy Centers, Inc. |
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