Individual
STEPHANIE ANN CIVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20217 HALL RD, MACOMB, MI 48044-4205
(586) 488-4938
Mailing address
20217 HALL RD, MACOMB, MI 48044-4205
(586) 488-4938
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000807
MI
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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