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1225540909
CRYSTAL GREEN
DETROIT, MI
NPI
1225540909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-11-02
Last Update Date
2017-11-02
Business Address
CRYSTAL GREEN BA
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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Mailing Address
CRYSTAL GREEN BA
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
Copy
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