Individual
CRISTAL MARIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093333
MI
Other
Enumeration date
12/27/2012
Last updated
08/03/2017
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