Individual
STACY GATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP, CCSOTS
Contact information
Practice address
501 UNION ST, EATON RAPIDS, MI 48827-1368
(517) 250-2552
Mailing address
915 N MONROE ST, ALBION, MI 49224-1352
(269) 449-1759
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301011660
MI
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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