Individual
STACY LYNN BOWMAN-HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11 DEVONSHIRE RD, PLEASANT RIDGE, MI 48069-1209
(248) 736-8490
Mailing address
11 DEVONSHIRE RD, PLEASANT RIDGE, MI 48069-1209
(248) 736-8490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64001011353
MI
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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