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Individual

MS. CINDY MARIE STADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 409-4128
(248) 745-6872
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 409-4128
(248) 745-6872

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088571
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801088571
STATE LICENSE NUMBER
MI
Enumeration date
06/08/2007
Last updated
04/24/2013
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