Provider Demographics
NPI:1609478775
Name:MUSZYNSKI, STEPHANY (LLMSW)
Entity Type:Individual
Prefix:
First Name:STEPHANY
Middle Name:
Last Name:MUSZYNSKI
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19765 CRANDELL CT
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-9115
Mailing Address - Country:US
Mailing Address - Phone:734-904-8048
Mailing Address - Fax:
Practice Address - Street 1:3830 PACKARD ST STE 280
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2276
Practice Address - Country:US
Practice Address - Phone:734-904-8048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801104623OtherMICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS