Provider Demographics
NPI:1205026762
Name:SEAMAN, JULIA ANN (BSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANN
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 BROWN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CROSWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48422-1159
Mailing Address - Country:US
Mailing Address - Phone:810-679-0200
Mailing Address - Fax:810-679-0202
Practice Address - Street 1:51 BROWN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:CROSWELL
Practice Address - State:MI
Practice Address - Zip Code:48422-1159
Practice Address - Country:US
Practice Address - Phone:810-679-0200
Practice Address - Fax:810-679-0202
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68020858241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical