Individual
CODI DEBORAH STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8966 LOUISE ST, LIVONIA, MI 48150-4016
(248) 761-9356
Mailing address
8966 LOUISE ST, LIVONIA, MI 48150-4016
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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