Individual
MRS. CONNETT STACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3169 W PIERSON RD, FLINT, MI 48504-6805
(810) 785-4930
Mailing address
2922 BARTH ST, FLINT, MI 48504-3052
(810) 767-6553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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