Doctor Name: | MRS. RENAY LETTE CROUSE |
NPI Number: | 1962732925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I. 0009226 |
Business Practice Address: | 241 High St New Wilmington, PA - 161421116 |
Business Phone Number: | 7249468711 |
Business Fax Number: | 7249469612 |
Mailing Address: | 241 High St, NEW WILMINGTON |
State: | PA |
Postal Code: | 161421116 |
Phone Number: | 7249468711 |
Fax Number: | 7249469612 |
NPI Enumeration Date: | 01/13/2010 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I. 0009226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |