Individual
MRS. CRYSTAL LEE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, CBIS
Contact information
Practice address
20500 EUREKA RD STE 200, TAYLOR, MI 48180-6394
(734) 285-8282
Mailing address
36991 GREENBUSH RD, WAYNE, MI 48184-1128
(734) 657-0046
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401018658
MI
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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