Most Relevant Information
Provider Data
| NPI Number: | 1003570060 |
| Provider Name: | SIERRA JEFFERSON LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6851110406 |
Most Important Dates
| Enumeration Date: | 10/26/2021 |
| Last Updated: | 01/31/2024 |
Provider Practice Location
10075 BERGIN RD STE C
HOWELL
MI
488437049
Practice Location Phone/Fax
| Phone: | 8104442484 |
| Fax: |
Provider Mailing Location
10075 BERGIN RD STE C
HOWELL
MI
488437049
Provider Mailing Phone/Fax
| Phone: | 8104442484 |
| Fax: |