Individual
CRYSTAL L ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 COVINGTON CT, SUITE 50, LANSING, MI 48912-4941
(517) 371-4971
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 744-3600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801085673
MI
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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