Individual
MISTY CRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
11345 N PORT WASHINGTON RD STE 204, MEQUON, WI 53092-3411
(262) 236-5135
Mailing address
8997 HIGH LAND DR, KEWASKUM, WI 53040-9436
(651) 494-2314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131265-121
WI
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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