Individual
MRS. STACY DELORES THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, CLD, CCCE
Contact information
Practice address
1976 CANARY CT, TROY, MI 48084-1409
(248) 556-6361
Mailing address
1976 CANARY CT, TROY, MI 48084-1409
(248) 556-6361
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
374JOOOOOX
MI
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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