Provider Information for 1043685282
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Ms. SHEILA MARIE KRIEGER LPC
Sex: Female
NPI: 1043685282
Last Updated: 2021-11-03
Certification Date: 2021-11-03
Certification Date: 2021-11-03
Details
Name | Value | ||||||||||||
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NPI | 1043685282 | ||||||||||||
Enumeration Date | 2015-12-13 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 5310 E BRITAIN AVE BENTON HARBOR, MI 49022-9768 United States Phone: 269-325-0767 | Fax: | ||||||||||||
Primary Practice Address | 2390 WOODLAKE DR STE 380 OKEMOS, MI 48864-6018 United States Phone: 517-999-1104 | Fax: | ||||||||||||
Secondary Practice Address(es) | 5310 E BRITAIN AVE | ||||||||||||
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