Individual
TABITHA ANN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1107 S PEARCE ST, OWOSSO, MI 48867-4343
(248) 832-2689
Mailing address
1107 S PEARCE ST, OWOSSO, MI 48867-4343
(248) 832-2689
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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