Individual
CASSANDRA CRITTENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17855 COMMON RD, ROSEVILLE, MI 48066-4659
(586) 930-2927
Mailing address
45501 HIDDEN VIEW CT, UTICA, MI 48315-5920
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8210203
—
MI
Enumeration date
07/24/2019
Last updated
07/24/2019
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