Most Relevant Information
Provider Data
| NPI Number: | 1003825142 |
| Provider Name: | CONNIE PHILLIPS CROWDER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2629-123 |
Most Important Dates
| Enumeration Date: | 08/07/2006 |
| Last Updated: | 12/20/2010 |
Provider Practice Location
565 MILWAUKEE AVE
SUITE 3C
BURLINGTON
WI
531051254
Practice Location Phone/Fax
| Phone: | 2627570016 |
| Fax: | 2627570018 |
Provider Mailing Location
565 MILWAUKEE AVE
SUITE 3C
BURLINGTON
WI
531051254
Provider Mailing Phone/Fax
| Phone: | 2627570016 |
| Fax: | 2627570018 |