Stephanie Danielle Wicker, LMSW
Social Worker, Clinical in Lansing, MI. Individual provider (NPI-1).
NPI number1669130910
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1669130910
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Danielle Wicker
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2021
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801105420 | MI | Yes |
Other names
- Stephanie Danielle Dosser (Former Name)
Practice location
1921 E Miller RdLansing, MI 48911-5348
Phone 517-319-0673
Mailing address
13120 Old Hickory TrlDewitt, MI 48820-9633
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