NPI Registry.org

Crystal Radford

NPI Registration Record

Provider / OrganizationNPIDate Certified
CRYSTAL RADFORD14579667492020-09-13
Entity TypeIndividual
Provider Name Crystal Radford LCSW
Practice Office Address229 RIVERSIDE DR
DETROIT, MI US
Practice Office Telephone3137442297
Mailing Address229 RIVERSIDE DR
DETROIT, MI 482153010 US
Business Telephone3137442297
Offices / Locations
AddressCity / StatePhone / Fax
20600 Eureka Rd Ste 707 Taylor, MI 481805376 3137442477
HPT Codes
CodeLicense NoState
1041C0700X PRIMARY6801106937 MI
OPI Codes

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