Doctor Name: | MS. JACQUELINE M. MURRAY KRUZEN |
NPI Number: | 1093999013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 816 |
Business Practice Address: | 40832 Lake Vista Ct Polson, MT - 59860 |
Business Phone Number: | 4068835721 |
Business Fax Number: | |
Mailing Address: | Po Box 1474, 40832 Lake Vista Ct POLSON |
State: | MT |
Postal Code: | 598601474 |
Phone Number: | 4068835721 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2007 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |