Organization
FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE LYNN HARRIS (THERAPIST)
(313) 274-5840
Entity
Organization
Contact information
Practice address
19855 OUTER DR STE 104, DEARBORN, MI 48124-2022
(313) 274-5840
Mailing address
19855 OUTER DR STE 104, DEARBORN, MI 48124-2022
(313) 274-5840
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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