Individual
HEATHER R STAPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
395 3RD ST, MANISTEE, MI 49660-1718
(877) 398-2013
(231) 723-1735
Mailing address
8079 W PETERSON RD, IRONS, MI 49644-9259
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802084355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802084355
STATE OF MICHIGAN LICENSE
MI
Enumeration date
02/19/2008
Last updated
02/19/2008
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