Individual
HOLLY WASIERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
7484 W MICHIGAN AVE, SUITE C, PIGEON, MI 48755-5200
(989) 975-0651
(989) 672-5649
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160
(989) 672-5649
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093322
MI
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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