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Individual

CRYSTAL LEIGH POLICELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24435 PLYMOUTH RD, REDFORD, MI 48239-1616
(313) 918-4217
(313) 450-0400
Mailing address
24435 PLYMOUTH RD, REDFORD, MI 48239-1616
(313) 918-4217
(313) 450-0400

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MI

Other

Enumeration date
05/11/2023
Last updated
09/30/2025
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