Individual
STEPHANIE MARLO SILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LLP
Contact information
Practice address
18316 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 615-9730
Mailing address
3602 HUNTER AVE, ROYAL OAK, MI 48073-2134
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013319
MI
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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