Kathleen a Kruse Lcsw PC

NPI #1669744678 in Freeport, Illinois

Provider Information

NPI Number: 1669744678
Entity Type: Organization
Organization Name: Kathleen a Kruse Lcsw PC
Primary Specialty: Social Worker
Enumeration Date: Feb 7, 2012
Last Updated: Feb 7, 2012

Practice Location

Address: 1011 W LORAS DRIVE
Address 2: SUITE C
City: Freeport
State: Illinois
ZIP Code: 61032-6900
Phone: (815) 233-2550

Authorized Official

Name: MRS. KATHLEEN A KRUSE, LCSW
Title: OWNER
Phone: (815) 233-2550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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