Individual
STACY STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38777 6 MILE RD STE 209, LIVONIA, MI 48152-2660
(888) 414-7056
Mailing address
38777 6 MILE RD STE 209, LIVONIA, MI 48152-2660
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
355944
MI
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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