Individual
KRYSTLE NICOLE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A. PSYCHOLOGY
Contact information
Practice address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5353
Mailing address
18505 MEYERS RD, DETROIT, MI 48235-1308
(313) 463-1061
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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