Individual
CRYSTAL KELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
277 NORTH ST, ALLEGAN, MI 49010-1138
(269) 673-5092
Mailing address
155 SUMMIT DR, ALLEGAN, MI 49010-8627
(269) 208-0986
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6802085236
—
MI
Enumeration date
04/22/2015
Last updated
04/22/2015
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