Individual
STEPHANIE L RAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCAR
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
Mailing address
502 FERRIS ST UNIT A, YPSILANTI, MI 48197-5302
(248) 727-7633
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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