Elizabeth Crubaugh, MSW, LICSW
Social Worker, Clinical in Maplewood, MN. Individual provider (NPI-1).
NPI number1700548336
StatusActive
Last updated in NPPESOct 11, 2021
Details
- NPI
- 1700548336
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Crubaugh
- Credential
- MSW, LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2021
- Certification date
- Oct 11, 2021
- Last updated
- Oct 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 26519 | MN | Yes |
Practice location
2103 County Road D E Ste BMaplewood, MN 55109-5358
Phone 612-232-9491
Mailing address
2103 County Road D E Ste BMaplewood, MN 55109-5358
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