Individual
ELLEN STACHOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
24445 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-6501
(248) 483-7804
Mailing address
24445 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-6501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6852094491APP25
MI
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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