Individual
BROOKE SHIVON SANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328
(248) 409-4170
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01377
MI
104100000X
Social Worker
Primary
6802086459
MI
Other
Enumeration date
07/28/2017
Last updated
08/15/2017
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