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Individual

IRIANELY SACCOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLMSW

Contact information

Practice address
450 MEADOW RUN DR, HASTINGS, MI 49058-9053
(269) 408-9158
Mailing address
450 MEADOW RUN DR STE 300, HASTINGS, MI 49058-9054
(269) 408-9158

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
104100000X
Social Worker
Primary
6851122095
MI

Other

Enumeration date
09/21/2023
Last updated
07/21/2026
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