Doctor Name: | MRS. STEPHANIE JUNE SOBLASKEY |
NPI Number: | 1487776928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW CSW |
License Number: | 6801079326 |
Business Practice Address: | 135 Bertrand St Saint Ignace, MI - 497811705 |
Business Phone Number: | 9066431592 |
Business Fax Number: | |
Mailing Address: | 929 Medora St, SAINT IGNACE |
State: | MI |
Postal Code: | 497811807 |
Phone Number: | 9066430923 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801079326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |