Most Relevant Information
Provider Data
| NPI Number: | 1003054636 |
| Provider Name: | CRYSTAL Z MCLEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/04/2009 |
| Last Updated: | 02/04/2009 |
Provider Practice Location
820 N PLANKINTON AVE
MILWAUKEE
WI
532031802
Practice Location Phone/Fax
| Phone: | 4142251606 |
| Fax: | 4142236800 |
Provider Mailing Location
820 N PLANKINTON AVE
MILWAUKEE
WI
532031802
Provider Mailing Phone/Fax
| Phone: | 4142251606 |
| Fax: | 4142236800 |