Individual
KATHLEEN MARIE CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
2074 17TH ST, WYANDOTTE, MI 48192-3820
(734) 624-4249
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
247200000X
Other Technician
—
—
Other
Enumeration date
01/29/2014
Last updated
12/15/2021
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