Individual
STEPHANIE LYNN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(734) 458-4601
Mailing address
9806 INGRAM ST, LIVONIA, MI 48150-2818
(734) 788-9490
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
4704126670
MI
Other
Enumeration date
12/07/2019
Last updated
12/07/2019
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