Individual
MYRA STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 WALNUT ST, YPSILANTI, MI 48198-3937
(734) 252-5215
(734) 822-0237
Mailing address
1122 WALNUT ST, YPSILANTI, MI 48198-3937
(734) 252-5215
(734) 822-0237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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