Individual
ARIANA WAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18580 GRASS LAKE RD, MANCHESTER, MI 48158-9714
(603) 531-9730
Mailing address
18580 GRASS LAKE RD, MANCHESTER, MI 48158-9714
(603) 531-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2895
NH
1041C0700X
Clinical Social Worker
Primary
6801117404APP23
MI
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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