Individual
CRYSTAL EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2186 WATER ST, PORT HURON, MI 48060-2543
(989) 723-6791
Mailing address
PO BOX 428, OWOSSO, MI 48867-0428
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013666
MI
Other
Enumeration date
02/11/2014
Last updated
06/20/2024
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