Individual
SAMANTHA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLC
Contact information
Practice address
13305 REECK CT, SOUTHGATE, MI 48195-3197
(800) 395-3223
Mailing address
26545 AMERICAN DR, SOUTHFIELD, MI 48034-6115
(800) 395-3223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024373
MI
Other
Enumeration date
11/14/2024
Last updated
06/10/2025
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