Crystal Liedtke, LCSW

NPI #1639654858 in Marion, Illinois

Provider Information

NPI Number
1639654858
Entity Type
Individual
Name
Crystal Liedtke, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 3, 2018
Last Updated
Oct 3, 2018

Practice Location

Address
3403 HEARTLAND ST
City
Marion
ZIP Code
62959-6393
Phone
(618) 997-5311

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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