Individual
CRYSTAL U MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1744 N FARWELL AVE, MILWAUKEE, WI 53202-1806
(414) 225-4460
(414) 225-4475
Mailing address
3816 W PARK HILL AVE, MILWAUKEE, WI 53208-3725
(414) 530-8118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WI
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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