Individual
MARGARET ANN STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., APBB
Contact information
Practice address
777 LIVERNOIS ST, FERNDALE, MI 48220-2306
(248) 546-3304
(248) 546-3305
Mailing address
26789 WOODWARD AVE, SUITE #107C, HUNTINGTON WOODS, MI 48070-1335
(248) 546-3304
(248) 546-3305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005353
MI
Other
Enumeration date
02/26/2008
Last updated
03/06/2019
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