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Individual

ANNIKA MATTIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LMSW

Contact information

Practice address
500 BARFIELD DR, HASTINGS, MI 49058-9018
(269) 948-8041
Mailing address
500 BARFIELD DR, HASTINGS, MI 49058-9018
(269) 948-8041

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
118541
CA
1041C0700X
Clinical Social Worker
Primary
6801100977
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801100977
COMMERCIAL INSURANCE
MI
05
6801100977
MI
Enumeration date
05/22/2017
Last updated
06/11/2024
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