Individual
STACEY MICHELLE OLSAFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
28303 JOY RD, WESTLAND, MI 48185-5524
(734) 513-1122
Mailing address
39097 CLOCKTOWER DR, ROMULUS, MI 48174-5321
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013197
MI
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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