Susan Crim
Community Health Worker in Pontiac, MI. Individual provider (NPI-1).
NPI number1437919701
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1437919701
- Entity type
- Individual (NPI-1)
- Name
- Susan Crim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1685 Baldwin AvePontiac, MI 48340-1242
Phone 586-917-0020
Mailing address
1685 Baldwin AvePontiac, MI 48340-1242
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