Individual
ALLIE LYN VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 HOGBACK RD STE 108, ANN ARBOR, MI 48105-9487
(734) 707-7230
Mailing address
2601 INTERNATIONAL DR APT 1235A, YPSILANTI, MI 48197-1313
(802) 343-0069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801103729
MI
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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