Individual
MR. STANFORD L FOLLETTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CACI
Contact information
Practice address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Mailing address
5057 BERTSHIRE DR, MOUNT PLEASANT, MI 48858-1197
(989) 773-8411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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