Individual
SAMANTHA STOCKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 833-2500
Mailing address
24179 WOLVERINE CT, NEW BOSTON, MI 48164-8805
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007774
MI
Other
Enumeration date
12/12/2022
Last updated
05/12/2024
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