Individual
SHARON CRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3050
Mailing address
PO BOX 981419, YPSILANTI, MI 48198-1419
(734) 417-4630
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014557
MI
Other
Enumeration date
09/08/2010
Last updated
06/13/2014
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