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STACIE IRENE STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TLLP

Contact information

Practice address
650 LIVERNOIS ST, FERNDALE, MI 48220-2304
(734) 386-0604
Mailing address
33888 RHONSWOOD ST, FARMINGTON HILLS, MI 48335-5256
(248) 388-6786

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362010142
MI

Other

Enumeration date
06/06/2025
Last updated
06/06/2025
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