CRYSTAL LIEDTKE

MARION, IL
NPI1639654858
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149020496)
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
CRYSTAL LIEDTKE LCSW
3403 HEARTLAND ST
MARION, IL 62959-6393
Phone number: 618-997-5311
Mailing Address
CRYSTAL LIEDTKE LCSW
3403 HEARTLAND ST
MARION, IL 62959-6393
Phone number: 618-997-5311