STACEY FAIRMAN

PLYMOUTH, MI
NPI1720717283
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201005468)
Enumeration Date2022-06-08
Last Update Date2022-06-08
Business Address
STACEY FAIRMAN
46200 PORT ST
PLYMOUTH, MI 48170-6048
Phone number: 734-454-0866
Mailing Address
STACEY FAIRMAN
46200 PORT ST
PLYMOUTH, MI 48170-6048
Phone number:
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