Individual
MR. AZIBO KHUFU STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22255 GREENFIELD RD STE 300, SOUTHFIELD, MI 48075-3729
(248) 849-3301
(248) 849-5349
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 467-7600
(734) 467-7646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801096258
MI
171M00000X
Case Manager/Care Coordinator
6801096258
MI
Other
Enumeration date
05/27/2015
Last updated
06/01/2022
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