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Organization
SARAH LICKISS LMSW PLC
Active
Organization
SARAH LICKISS LMSW PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
600 3 MILE RD NW STE 101, GRAND RAPIDS, MI 49544-1691
(616) 287-3497
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
09/12/2024
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