Individual
MICHELLE SWEENEY STAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
11638 LEONARDO DR, SAINT JOHN, IN 46373-9447
(219) 789-5159
Mailing address
11638 LEONARDO DR, SAINT JOHN, IN 46373-9447
(219) 789-5159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004493A
IN
Other
Enumeration date
05/06/2025
Last updated
05/09/2025
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