Individual
MS. CRYSTAL YVONNE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
79 W. ALEXANDRINE, DETROIT, MI 48201
(313) 262-1195
Mailing address
79 W. ALEXANDRINE, DETROIT, MI 48201
(313) 262-1195
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012074
MI
Other
Enumeration date
09/03/2008
Last updated
12/26/2012
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