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Individual

MR. STEPHEN ROY LANCASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA LLPC,QMRP

Contact information

Practice address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 280-9512
(810) 280-9512
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 280-9512
(810) 280-9512

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014572
MI
104100000X
Social Worker
6803786341
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669597886
NPI
MI
Enumeration date
03/20/2007
Last updated
04/07/2015
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