DIANE STAFFORD

DETROIT, MI
NPI1316076110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
-- DIANE STAFFORD
18609 W 7 MILE RD
DETROIT, MI 48219-2702
Phone number: 313-532-8015
Mailing Address
-- DIANE STAFFORD
12367 NORTHLAWN ST
DETROIT, MI 48204-1019
Phone number:
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