Individual
MARCUS EUGENE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
16001 W 9 MILE RD, DEPT OPF BEHAVORIAL SERVICE, SOUTHFIELD, MI 48075-4818
(248) 849-3306
Mailing address
23890 EDINBURGH ST, SOUTHFIELD, MI 48034-4891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801079534
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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