Individual
CRYSTAL WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Mailing address
848 S HENRY RUFF RD, WESTLAND, MI 48186-5063
(313) 445-3986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094143
MI
Other
Enumeration date
05/21/2007
Last updated
10/18/2021
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