Individual
STEFANIE MICHELLE PAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP, CAADC
Contact information
Practice address
595 FOREST AVE, SUITE 7A, PLYMOUTH, MI 48170-1775
(586) 899-1742
Mailing address
20105 ALGER ST, SAINT CLAIR SHORES, MI 48080-1703
(586) 899-1742
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361003391
MI
103TC0700X
Clinical Psychologist
6301016814
MI
Other
Enumeration date
11/09/2016
Last updated
04/10/2023
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