Individual
MRS. SIARRA ADERONKE MAKETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 GOVERNORS SQ STE D, PEACHTREE CITY, GA 30269-4871
(678) 423-5500
Mailing address
9477 ESSEX ST., ROMULUS, MI 48174
(313) 808-8021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6851100344
MI
1041C0700X
Clinical Social Worker
Primary
CSW009435
GA
Other
Enumeration date
07/04/2022
Last updated
02/03/2025
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