Individual
ANIKA WALTONSTANCIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-4624
Mailing address
19308 GRASS LAKE RD, BIG RAPIDS, MI 49307-9078
(312) 506-3822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
07/24/2024
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