Most Relevant Information
Provider Data
| NPI Number: | 1003213356 |
| Provider Name: | STEPHANI MCISAAC LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801094601 |
Most Important Dates
| Enumeration Date: | 12/02/2014 |
| Last Updated: | 10/13/2022 |
Provider Practice Location
20956 MACK AVE
GROSSE POINTE WOODS
MI
482361355
Practice Location Phone/Fax
| Phone: | 2486600753 |
| Fax: |
Provider Mailing Location
1608 HAMPTON RD
GROSSE POINTE WOODS
MI
482361304
Provider Mailing Phone/Fax
| Phone: | 2487396249 |
| Fax: |