Individual
MISS CRYSTAL A MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
2518 N 17TH ST, MILWAUKEE, WI 53206-2020
(414) 915-2637
(414) 810-1567
Mailing address
2518 N 17TH ST, MILWAUKEE, WI 53206-2020
(414) 915-2637
(414) 810-1567
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128168-121
WI
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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