Individual
MS. STEPHANIE MARIE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NDTR,CDM, CFPP, CPT
Contact information
Practice address
18501 W 10 MILE RD, SOUTHFIELD, MI 48075-2663
(313) 492-8446
(248) 200-7968
Mailing address
18501 W 10 MILE RD, SOUTHFIELD, MI 48075-2663
(313) 492-8446
(248) 200-7968
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
202214
MI
136A00000X
Registered Dietetic Technician
Primary
945321
MI
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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