Individual
VICTORIA L STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 PORTER ST SW APT 105, WYOMING, MI 49519-2263
(616) 319-1277
Mailing address
2207 PORTER ST SW APT 105, WYOMING, MI 49519-2263
(810) 434-5756
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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