Mack, Stacelynne

Mack, Stacelynne is an sole proprietor health care provider with primary practice located at 30601 Crest Frst , Farmington Hills MI 48331-1052. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mack, Stacelynne can be contacted via phone (248) 506-4065.

Contact Information

Primary practice address
30601 Crest Frst Farmington Hills MI 48331-1052
Phone: (248) 506-4065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 6801082564 Michigan

Profile Details

NPI number 1720590516
LBN Legal business name Mack, Stacelynne
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2017
Last updated Nov 2nd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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