Individual
CRYSTAL RADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
229 RIVERSIDE DR, DETROIT, MI 48215-3010
(313) 744-2297
Mailing address
229 RIVERSIDE DR, DETROIT, MI 48215-3010
(313) 744-2297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801106937
MI
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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