Individual
STACY MOUZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
(248) 438-1566
Mailing address
25763 VALLEY CREEK DR, APT 602, FLAT ROCK, MI 48134-4011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4704149813
MI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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