Individual
CHANTELLE HENISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2198 US 31 S, MANISTEE, MI 49660-9618
(877) 398-2013
Mailing address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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