STEPHANIE NICOLE INDIANER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021172

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

NICOLE

Last Name

INDIANER

Business Name

STEPHANIE NICOLE INDIANER

Original Issue Date

04/16/2019

Effective Date

11/22/2021

Expiration Date

11/30/2023

City

WEST BLOOMFIELD

State

Zip

48322

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024