Individual
MRS. SHAUNESSY MICHELLE STAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
998 NORTH COLUMBIA ST., SUITE 1, UNION CITY, IN 47390
(765) 546-9173
Mailing address
501 N HOWARD ST, UNION CITY, IN 47390-1118
(765) 964-3205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0901043
OH
104100000X
Social Worker
Primary
33005450A
IN
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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