Individual
MR. JAMES R. STANISLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
625 E BIG BEAVER RD, SUITE 101, TROY, MI 48083-1426
(248) 740-9360
(248) 740-9374
Mailing address
625 E BIG BEAVER RD, SUITE 101, TROY, MI 48083-1426
(248) 740-9360
(248) 740-9374
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801012574
MI
Other
Enumeration date
01/14/2008
Last updated
02/06/2008
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