Individual
MRS. STACEY MARLA ORICK
Active
Individual
MRS. STACEY MARLA ORICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LLP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6301006701
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6301006701
MI
Other
Enumeration date
04/21/2009
Last updated
04/18/2014
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