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STEPHANIE LYNN VANNATTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA LPC

Contact information

Practice address
9844 DIXIE HWY, IRA, MI 48023-2813
(586) 716-7600
Mailing address
9844 DIXIE HWY, IRA, MI 48023-2813
(810) 716-7600

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016146
MI

Other

Enumeration date
06/27/2017
Last updated
07/31/2023
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