Individual
MRS. RENAY MARIA WEISS-STANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.L.P.C.
Contact information
Practice address
17141 RYAN RD, DETROIT, MI 48212-1112
(313) 369-1717
Mailing address
19613 NORTHRIDGE DR, NORTHVILLE, MI 48167-2914
(734) 276-2298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401010577
DEPT. OF COMMUNITY HEALTH
MI
Enumeration date
10/09/2007
Last updated
10/09/2007
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