Individual
MR. JOHN BOYD KRISEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
15200 E JEFFERSON, SUITE 105, GROSSE POINTE PARK, MI 48230
(313) 821-2590
(313) 821-1046
Mailing address
15200 E JEFFERSON, SUITE 105, GROSSE POINTE PARK, MI 48230
(313) 821-2590
(313) 821-1046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801059788
MI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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