Most Relevant Information
Provider Data
| NPI Number: | 1003506338 |
| Provider Name: | ANIKA WALTONSTANCIEL |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2023 |
| Last Updated: | 07/24/2024 |
Provider Practice Location
1615 MICHIGAN AVE
BALDWIN
MI
493047984
Practice Location Phone/Fax
| Phone: | 2317454624 |
| Fax: |
Provider Mailing Location
19308 GRASS LAKE RD
BIG RAPIDS
MI
493079078
Provider Mailing Phone/Fax
| Phone: | 3125063822 |
| Fax: |