Individual
VICTORIA STOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 SOUTHFIELD RD, LINCOLN PARK, MI 48146-2409
(313) 388-4100
(313) 388-6566
Mailing address
1110 SOUTHFIELD RD, LINCOLN PARK, MI 48146-2409
(313) 388-4100
(313) 388-6566
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802058977
MI
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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