Individual
TONIE STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413
Mailing address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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