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Organization
STELLAR CLINIC CT PLLC
Active
Organization
STELLAR CLINIC CT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WANG (ADMINISTRATOR)
(248) 313-8413
Entity
Organization
Contact information
Practice address
220 W CONGRESS ST, DETROIT, MI 48226-3289
(734) 584-0133
(844) 333-0460
Mailing address
440 N BARRANCA AVE # 4885, COVINA, CA 91723-1722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
11/15/2023
Last updated
07/31/2024
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