Individual
MRS. DESTINY E REIKOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11308 AUTUMN BREEZE TRL STE 1, CLIO, MI 48420-1592
(989) 996-5544
Mailing address
11308 AUTUMN BREEZE TRL STE 1, CLIO, MI 48420-1592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801116694
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15140840
—
MI
Enumeration date
06/12/2018
Last updated
03/07/2024
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