Individual
PATRICIA CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SST
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1209
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2222669
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
247200000X
Other Technician
—
—
Other
Enumeration date
05/27/2014
Last updated
01/08/2024
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