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Individual

MS. CRYSTAL MARIE HEATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
54 SENECA ST, PONTIAC, MI 48342-2349
(248) 836-0199
(248) 836-0191
Mailing address
54 SENECA ST, PONTIAC, MI 48342-2349
(284) 836-0199
(248) 836-0191

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802086323
MI

Other

Enumeration date
02/10/2015
Last updated
02/10/2015
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