| Stephanie Sieradzki Lmsw Pllc | |
|
41 Washington Ave Ste 368 Grand Haven MI 49417-1378 | |
| (231) 286-9172 | |
| Not Available |
| Full Name | Stephanie Sieradzki Lmsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 41 Washington Ave Ste 368, Grand Haven, Michigan |
| Authorized Official Name and Position | Stephanie Sue Sieradzki (SOCIAL WORKER/PROVIDER) |
| Authorized Official Contact | 2312869172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Sieradzki Lmsw Pllc 2318 Lincoln Park Dr Norton Shores MI 49441-3323 Ph: (231) 286-9172 | Stephanie Sieradzki Lmsw Pllc 41 Washington Ave Ste 368 Grand Haven MI 49417-1378 Ph: (231) 286-9172 |
| NPI Number | 1619604535 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619604535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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