Individual
BAMBI STALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2450 44TH ST SE STE 205, KENTWOOD, MI 49512-9081
(616) 260-9819
Mailing address
2450 44TH ST SE STE 205, KENTWOOD, MI 49512-9081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451020839
MI
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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