Individual
ALAND DEWON STAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCAR
Contact information
Practice address
3442 KIESEL RD, BAY CITY, MI 48706-2446
(989) 391-4046
(989) 391-4047
Mailing address
3442 KIESEL RD, BAY CITY, MI 48706-2446
(989) 391-4046
(989) 391-4047
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179
CCAR
—
01
—
1797
CCAR RECOVERY COACH ACADEMY TRAINER
—
Enumeration date
12/19/2021
Last updated
12/19/2021
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