Individual
CORRIE A SJOBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1095 3RD ST, SUITE125, MUSKEGON, MI 49441-1976
(231) 726-4735
(231) 722-0789
Mailing address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 965-8004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712452
—
MI
Enumeration date
12/08/2006
Last updated
09/27/2016
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