Individual
CRYSTAL D. MANNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
15173 NORTH RD STE 100, FENTON, MI 48430-1381
(810) 258-9365
Mailing address
4656 CLAUDIA DR, WATERFORD, MI 48328-1100
(248) 434-7638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851115955
MI
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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