STACIA JEAN EBELT

TAYLOR, MI
NPI1316721400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6362010045)
Enumeration Date2023-08-21
Last Update Date2024-09-11
Business Address
STACIA JEAN EBELT
20300 SUPERIOR RD
TAYLOR, MI 48180-6331
Phone number: 734-785-7700
Mailing Address
STACIA JEAN EBELT
12142 LAPEER RD
DAVISON, MI 48423-8119
Phone number: