Individual
CANDICE BROOKE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15311 LESLIE ST, OAK PARK, MI 48237-1992
(540) 735-6154
Mailing address
15311 LESLIE ST, OAK PARK, MI 48237-1992
(540) 735-6154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223213
MI
101YM0800X
Mental Health Counselor
6451019052
MI
Other
Enumeration date
02/14/2022
Last updated
04/03/2023
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