Individual
SHELLEY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 HECHT DR, MADISON HEIGHTS, MI 48071-2885
(248) 602-3078
Mailing address
380 HECHT DR, MADISON HEIGHTS, MI 48071-2885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401222755
MI
Other
Enumeration date
04/23/2019
Last updated
08/05/2022
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