Individual
MS. STEPHANIE LONGMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(313) 409-3327
Mailing address
14648 WISCONSIN ST, DETROIT, MI 48238-1768
(313) 409-3327
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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