SearchMichigan1041S0200X

Stacelynne Mack, LMSW

NPI 1720590516 · on the registry since 2017 · sole proprietor

Practice

Address
30601 Crest Frst
Farmington Hills, MI 48331
Phone
(248) 506-4065

Registry record

Primary taxonomy
1041S0200X
1041S0200X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan