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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KRYSANDRA LYNN PHELAN, LMSW

Active

Social Worker · IRA, MI

Registration Details

NPI Number
1093983173
Provider Type
Individual
Gender
Female
NPI Issued
Feb 12, 2008 (18.228250079207 yrs)
Last Updated
Aug 6, 2012
License
6801089204 (MI)

Practice Information

Address
9844 DIXIE HWY
IRA, MI, 480232813
Browse MI providers · Browse ZIP 48023
Phone
8104346371
Primary Specialty
Social Worker
104100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.