Doctor Name: | STEPHANIE LYNN OSWALD |
NPI Number: | 1629218607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLMSW |
License Number: | 6801090995 |
Business Practice Address: | 2845 Us Highway 2/41 Suite 201 Bark River, MI - 498079661 |
Business Phone Number: | 9064662000 |
Business Fax Number: | 9064662067 |
Mailing Address: | 980 15th Rd, BARK RIVER |
State: | MI |
Postal Code: | 498079522 |
Phone Number: | 9068692991 |
Fax Number: | 9064662067 |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 03/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801090995 |
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 |