Individual
BRANDI ROSE SICKMUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
12130 FILLMORE ST, WEST OLIVE, MI 49460-8985
(616) 786-4140
Mailing address
12130 FILLMORE ST, WEST OLIVE, MI 49460-8985
(616) 786-4140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802088480
MI
104100000X
Social Worker
Primary
6851110625
MI
Other
Enumeration date
03/10/2015
Last updated
08/03/2021
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