Individual
MR. JEFFERY HARRISON STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.L.P.
Contact information
Practice address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 245-7000
Mailing address
387 MORAN RD, GROSSE POINTE FARMS, MI 48236-3444
(313) 882-6958
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009883
MI
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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