Individual
STEPHANIE LAUREN MARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
29800 ADAMS DR, GIBRALTAR, MI 48173
(734) 771-7022
Mailing address
29800 ADAMS DR, GIBRALTAR, MI 48173-9758
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704300807
MI
Other
Enumeration date
09/13/2019
Last updated
02/10/2021
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