Individual
CRYSTAL CASSANDRA SHILLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(248) 894-0437
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(248) 894-0437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801094451
MI
1041C0700X
Clinical Social Worker
Primary
6801094451
MI
Other
Enumeration date
06/22/2012
Last updated
01/02/2024
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