Individual
STEPHANIE RENEE' LYERLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6851117203
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
09/15/2023
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