MICHELLE GRACE SIERRA-KWANDHAM

APO, AP
NPI1942585674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  11078)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NC  C008207)
Enumeration Date2011-10-13
Last Update Date2020-11-25
Business Address
MICHELLE GRACE SIERRA-KWANDHAM LCSW
18TH MEDICAL GROUP UNIT 5142
APO, AP 96368-5142
Phone number: 315-630-4780
Mailing Address
MICHELLE GRACE SIERRA-KWANDHAM LCSW
194 MISSILE AVENUE MINOT AFB ND 58705-5024 10 MISSILE AVE
MINO, ND 58705-5024
Phone number: 701-723-5633