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Individual

CHERYL ANN KOBERNIK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
385 3RD ST, MANISTEE, MI 49660-1718
(231) 309-1832
Mailing address
1139 FORRESTER RD, FRANKFORT, MI 49635-9381
(231) 352-4865

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085280
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801085280
STATE LICENSE
MI
01
CK085280
3RD PARTY IDENTIFIER
MI
Enumeration date
03/15/2006
Last updated
07/08/2007
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