Individual
STEPHANIE JACINTA POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28325 RANCHWOOD DR, SOUTHFIELD, MI 48076
(248) 313-4567
Mailing address
28325 RANCHWOOD DR, SOUTHFIELD, MI 48076-2467
(248) 773-1936
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
MI
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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