Icecis Mccrimmon

NPI 1619707536 · on the registry since 2024

Practice

Address: 400 Renaissance Ctr Ste 2600
Detroit, MI 48243
Phone: (185) 583-2672
Organisation at this address: P-Cor, Llc
Kas Mi, Llc
Aldad Medical Pc
Faith Walk, Inc.
Family Aide Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 274

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan