Individual
STACIE DESHAWN GLOVER-HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
Mailing address
624 S HACKER RD, BRIGHTON, MI 48114-8768
(313) 556-6386
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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